Individual
MS. SUSAN VERNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
11234 ANDERSON ST, ROOM 4843, LOMA LINDA, CA 92354-2804
(909) 558-4000
(909) 558-0248
Mailing address
11234 ANDERSON ST, ROOM 4843, LOMA LINDA, CA 92354-2804
(909) 558-4000
(909) 558-0248
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
389523
CA
Other
Enumeration date
03/26/2007
Last updated
07/08/2007
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