Individual
ISABEL TERESA MALDONADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1350 3RD ST, LA VERNE, CA 91750-5201
(909) 593-2581
Mailing address
1350 3RD ST, LA VERNE, CA 91750-5201
(909) 593-2581
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
696930
CA
Other
Enumeration date
03/01/2024
Last updated
07/09/2024
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