Mario Zambrano
Registered Nurse in Colton, CA. Individual provider (NPI-1).
NPI number1790172575
StatusActive
Last updated in NPPESApr 20, 2015
Details
- NPI
- 1790172575
- Entity type
- Individual (NPI-1)
- Name
- Mario Zambrano
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 20, 2015
- Last updated
- Apr 20, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 95022566 | CA | Yes |
Practice location
400 N Pepper AveColton, CA 92324-1801
Phone 909-580-3144 · Fax 909-580-2165
Mailing address
400 N Pepper AveColton, CA 92324-1801
Phone 909-580-3144 · Fax 909-580-2165
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