Most Relevant Information
Provider Data
| NPI Number: | 1003652579 |
| Provider Name: | YUSLEYDYS PANADE ROMAN NP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 95030929 |
Most Important Dates
| Enumeration Date: | 07/03/2024 |
| Last Updated: | 07/03/2024 |
Provider Practice Location
1020 W 16TH ST
UPLAND
CA
917841803
Practice Location Phone/Fax
| Phone: | 6266426977 |
| Fax: |
Provider Mailing Location
1020 W 16TH ST
UPLAND
CA
917841803
Provider Mailing Phone/Fax
| Phone: | 6266426977 |
| Fax: |