Individual
CLARA ELIZABETH GLORIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11987 JASMINE PL, FONTANA, CA 92337-2816
(909) 641-3005
Mailing address
11987 JASMINE PL, FONTANA, CA 92337-2816
(909) 641-3005
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
04/20/2021
Last updated
04/20/2021
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