Individual
MRS. GORETTI KANTUMBARE MACHARIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16742 MEADOWVIEW DR, YORBA LINDA, CA 92886
(714) 528-8631
Mailing address
16742 MEADOWVIEW DR, YORBA LINDA, CA 92886
(714) 528-8631
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN208091
CA
Other
Enumeration date
09/23/2010
Last updated
09/23/2010
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