Individual
HOLY DOVE QUIBOLOY PAULE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
812 POPPYSEED LN, CORONA, CA 92881-3527
(562) 290-3190
Mailing address
812 POPPYSEED LN, CORONA, CA 92881-3527
(562) 290-3190
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
794816
CA
363L00000X
Nurse Practitioner
Primary
95016491
CA
Other
Enumeration date
02/10/2020
Last updated
02/16/2021
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