Provider Information for 1447810106
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NATALIE LOERA
Sex: Female
NPI: 1447810106
Last Updated: 2022-03-09
Certification Date: 2022-03-09
Certification Date: 2022-03-09
Details
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NPI | 1447810106 | ||||||||||||||||||||||||
Enumeration Date | 2019-06-15 | ||||||||||||||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||||||||||||||
Sole Proprietor | NO | ||||||||||||||||||||||||
Status | Active | ||||||||||||||||||||||||
Mailing Address | 902 S MYRTLE AVE MONROVIA, CA 91016-3427 United States Phone: | Fax: | ||||||||||||||||||||||||
Primary Practice Address | 902 S MYRTLE AVE MONROVIA, CA 91016-3427 United States Phone: 626-357-3258 | Fax: | ||||||||||||||||||||||||
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