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Mr. Johnny Demetria Dauz III, FNP-C
Family Nurse Practitioner in Upland, California
NPI 1528342607

Johnny Demetria Dauz III is a Family Nurse Practitioner based in Corona, CA and is specialized in Family. Johnny Demetria Dauz III practices in Upland, CA and has the professional credentials of FNP-C. The NPI Number for Johnny Demetria Dauz III is 1528342607 and holds a License No. 95020319 (California).

The current practice location address for Johnny Demetria Dauz III is 1004 W Foothill Blvd Ste 200, Upland, CA and can be reached out via phone at 909-985-1908.

Location: 1004 W Foothill Blvd Ste 200, Upland, CA, 92883-9156
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528342607
Provider Name
Johnny Demetria Dauz III
Credential
FNP-C
Provider Entity Type
Individual
Gender
Male
Address
1004 W Foothill Blvd Ste 200, Upland, CA, 92883-9156
Phone Number
909-985-1908
Fax Number
Provider Enumeration Date
10/06/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1004 W Foothill Blvd Ste 200
City
Upland
State
California
Zip
91786-3791
Phone Number
909-985-1908
Fax Number
person
Provider Business Mailing Address Details
Address
1004 W Foothill Blvd Ste 200
City
Upland
State
California
Zip
91786-3791
Phone Number
909-985-1908
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
95020319 (California)
Definition
Definition to come...
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