Individual
CARLY DYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
17634 OWEN CT, FONTANA, CA 92335-3711
(909) 684-3257
Mailing address
3475 N GRAPEWOOD AVE, RIALTO, CA 92377-3651
(909) 684-3257
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
95362712
CA
Other
Enumeration date
01/12/2024
Last updated
01/12/2024
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