Individual
MIA MARIE DUARTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
110 BREEDERS CUP PL, NORCO, CA 92860-5127
(951) 847-2331
Mailing address
110 BREEDERS CUP PL, NORCO, CA 92860-5127
(951) 847-2331
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
VN760528
CA
Other
Enumeration date
06/02/2026
Last updated
06/02/2026
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