Individual
MRS. CHARLOTTE CUETO JOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
15697 PORTENZA DR, FONTANA, CA 92336-4618
(909) 764-1054
Mailing address
15697 PORTENZA DR, FONTANA, CA 92336-4618
(909) 764-1054
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
95212538
CA
Other
Enumeration date
10/26/2021
Last updated
04/09/2025
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