CHARITY PENALOZA RUSSELL

REDLANDS, CA
NPI1427468024
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2083X0100X Preventive Medicine, Occupational Medicine
(Licence: CA  A138855)
Additional Taxonomies208100000X Physical Medicine & Rehabilitation
(Licence: NC  201379)
Enumeration Date2014-05-05
Last Update Date2024-12-27
Business Address
CHARITY PENALOZA RUSSELL MD
26001 REDLANDS BLVD
REDLANDS, CA 92373-7762
Phone number: 909-894-7938
Mailing Address
CHARITY PENALOZA RUSSELL MD
26001 REDLANDS BLVD
REDLANDS, CA 92373-7762
Phone number: 909-894-7938