Doctor Name: | LEONIDA LACHICA GUTIERREZ |
NPI Number: | 1083750772 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | 488055 |
Business Practice Address: | 850 E Foothill Blvd Rialto, CA - 923765230 |
Business Phone Number: | 9094219357 |
Business Fax Number: | 9094219219 |
Mailing Address: | 850 E Foothill Blvd, RIALTO |
State: | CA |
Postal Code: | 923765230 |
Phone Number: | 9094219357 |
Fax Number: | 9094219219 |
NPI Enumeration Date: | 01/29/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP0808X |
License Number: | 488055 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |