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Individual

JUDE GARCIA-REQUEJO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1481 WINDSOR DR, SAN BERNARDINO, CA 92404-5416
(909) 693-4329
Mailing address
13800 WOODBINE DR, VICTORVILLE, CA 92395-4963

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
697297
CA

Other

Enumeration date
05/06/2026
Last updated
05/06/2026
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