Individual
MRS. ELIZA AJERO GRANFLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACNP-BC
Contact information
Practice address
10729 SUNDANCE DR, RANCHO CUCAMONGA, CA 91730-6616
(951) 206-0757
Mailing address
10729 SUNDANCE DR, RANCHO CUCAMONGA, CA 91730-6616
(951) 206-0757
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
710843
CA
363LA2100X
Acute Care Nurse Practitioner
Primary
22574
CA
364SA2100X
Acute Care Clinical Nurse Specialist
3901
CA
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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