LAVERNI CANONIGO SUICO

FONTANA, CA
NPI1396534335
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  95030500)
Enumeration Date2025-05-05
Last Update Date2025-05-05
Business Address
LAVERNI CANONIGO SUICO FNP-C
4989 AGAVE AVE
FONTANA, CA 92336-5961
Phone number: 323-447-3068
Mailing Address
LAVERNI CANONIGO SUICO FNP-C
4989 AGAVE AVE
FONTANA, CA 92336-5961
Phone number: 323-447-3068
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