Individual provider · NPI-1

Janette Bucio

Community Health Worker · Loma Linda, CA

NPI number1659133452
StatusActive
Last updated in NPPESJan 26, 2024

Details

NPI
1659133452
Entity type
Individual (NPI-1)
Name
Janette Bucio
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 26, 2024
Certification date
Jan 26, 2024
Last updated
Jan 26, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172V00000X Community Health Worker––Yes

Practice location

11188 Anderson St
Loma Linda, CA 92354-2833

Phone 909-558-7754 · Fax 909-558-0889

Mailing address

11188 Anderson St
Loma Linda, CA 92354-2833

Phone 562-525-2145

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