Individual
SUONG N MCLARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
15376 ROCHELLE ST, FONTANA, CA 92336-1040
(909) 910-4113
Mailing address
15376 ROCHELLE ST, FONTANA, CA 92336-1040
(909) 910-4113
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
710376
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
92000
CA
Other
Enumeration date
03/13/2014
Last updated
12/16/2021
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