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Individual

DESIREE RENE TREJO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RRT

Contact information

Practice address
1798 N GAREY AVE, POMONA, CA 91767-2918
(909) 865-9500
Mailing address
31558 GOLDEN LION DR, TEMECULA, CA 92591-6941

Taxonomy

Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
140769
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
140769
REGISTERED RESPIRATORY THERAPIST
CA
01
35491
RESPIRATORY CARE PRACTITIONER
CA
Enumeration date
01/20/2021
Last updated
01/20/2021
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