Individual
CAMILA AURELIA MARISCAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1021 W LA CADENA DR, RIVERSIDE, CA 92501-1413
(951) 784-8010
Mailing address
841 N PEPPER AVE, RIALTO, CA 92376-4526
(909) 875-0830
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN 128951
CA
Other
Enumeration date
04/04/2007
Last updated
07/08/2007
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