Individual provider · Type 1 NPI
Suzette L. Pornelos, RN
Hospice Registered Nurse · Ontario, CA
NPI number
1114752805
Active
Practice location
2910 Inland Empire Blvd
Ontario, CA 91764-4896
Mailing address
13393 Mariposa Rd Spc 213
Victorville, CA 92395-5328
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Hospice Registered Nurse Primary | 163WH1000X | 786944 (CA) |
Hospice Registered Nurse: Definition to come...
2 other providers at this address
About NPI 1114752805
Suzette L. Pornelos, RN's National Provider Identifier is 1114752805, issued on Sep 3, 2024. The primary taxonomy on file is Hospice Registered Nurse (163WH1000X), and the practice location is in Ontario, CA. The record was last updated on Sep 3, 2024.