Individual
JACQUELINE ALISI LOLIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
9668 MILLIKEN AVE STE 104-243, RANCHO CUCAMONGA, CA 91730-6137
(909) 513-6688
Mailing address
9668 MILLIKEN AVE STE 104-243, RANCHO CUCAMONGA, CA 91730-6137
(909) 513-6688
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
95276474
CA
Other
Enumeration date
12/12/2023
Last updated
12/12/2023
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