Organization
RCN PEDIATRIC CARE III
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORAZON NARNE (ADMINISTRATOR/OWNER)
(626) 917-9385
Entity
Organization
Contact information
Practice address
1429 GREENBERRY DR, LA PUENTE, CA 91744-1046
(626) 917-9385
Mailing address
1429 GREENBERRY DR, LA PUENTE, CA 91744-1046
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
—
Other
Enumeration date
11/21/2007
Last updated
06/17/2008
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