Most Relevant Information
Provider Data
| NPI Number: | 1003246315 |
| Provider Name: | LUAMY GABRIELA CORNEJO PNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP0200X |
| Specialty: | Nurse Practitioner |
| License Number: | NP95000040 |
Most Important Dates
| Enumeration Date: | 11/22/2013 |
| Last Updated: | 11/22/2013 |
Provider Practice Location
4440 BROCKTON AVE STE 100
RIVERSIDE
CA
925014026
Practice Location Phone/Fax
| Phone: | 9516841293 |
| Fax: |
Provider Mailing Location
24933 PROSPECT AVE
LOMA LINDA
CA
923542811
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |