Individual
EMILY SUOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14677 MERRILL AVENUE, FONTANA, CA 92335
(951) 643-2340
Mailing address
14677 MERRILL AVENUE, FONTANA, CA 92335
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
752611
CA
Other
Enumeration date
08/20/2025
Last updated
08/20/2025
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