WENCYLITO ALIVIA

COVINA, CA
NPI1861173189
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy163WP0809X Registered Nurse, Psych/Mental Health, Adult
(Licence: CA  95236780)
Enumeration Date2023-07-28
Last Update Date2023-07-28
Business Address
WENCYLITO ALIVIA Registered Nurse
210 W SAN BERNARDINO RD
COVINA, CA 91723-1515
Phone number: 626-938-7650
Mailing Address
WENCYLITO ALIVIA Registered Nurse
4336 QUIROGA LN
FONTANA, CA 92336-4771
Phone number: 818-913-4896