Individual
MARCOS J LOMBERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
4411 E CESAR CHAVEZ BLVD, FRESNO, CA 93702-3604
(559) 453-1008
Mailing address
4411 E CESAR CHAVEZ BLVD, FRESNO, CA 93702-3604
(559) 548-0105
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95171606
CA
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
95171606
CA
164X00000X
Licensed Vocational Nurse
VN 280643
CA
Other
Enumeration date
11/24/2015
Last updated
11/20/2024
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