Individual
JONATHAN LUIS URIBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGACNP
Contact information
Practice address
1007 W AVENUE M14, PALMDALE, CA 93551-1443
(661) 265-7810
Mailing address
43651 DEVYN LN, LANCASTER, CA 93535-5858
(818) 524-0460
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95011772
CA
Other
Enumeration date
05/13/2019
Last updated
05/13/2019
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