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Vivere Jabonillo Castro
Family Nurse Practitioner in West Covina, California
NPI 1154087641

Vivere Jabonillo Castro is a Family Nurse Practitioner based in Victorville, CA and is specialized in Family. Vivere Jabonillo Castro practices in West Covina, CA. The NPI Number for Vivere Jabonillo Castro is 1154087641 and holds a License No. 95019100 (California).

The current practice location address for Vivere Jabonillo Castro is 1115 S Sunset Ave Ste 200, West Covina, CA and can be reached out via phone at 626-732-8390.

Location: 1115 S Sunset Ave Ste 200, West Covina, CA, 92392-2413
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Provider Profile Details
NPI Number
1154087641
Provider Name
Vivere Jabonillo Castro
Credential
Provider Entity Type
Individual
Gender
Female
Address
1115 S Sunset Ave Ste 200, West Covina, CA, 92392-2413
Phone Number
626-732-8390
Fax Number
Provider Enumeration Date
11/09/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
95019100 01 FNP LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
1115 S Sunset Ave Ste 200
City
State
Zip
91790-3940
Phone Number
626-732-8390
Fax Number
person
Provider Business Mailing Address Details
Address
1115 S Sunset Ave Ste 200
City
State
Zip
91790-3940
Phone Number
626-732-8390
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
95019100 (California)
Definition
Definition to come...
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