Healthcare Provider Details

I. General information

NPI: 1730655986
Provider Name (Legal Business Name): APRIL TRUJILLO LVN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/15/2018
Last Update Date: 01/27/2023
Certification Date: 01/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1330 W RAMSEY ST
BANNING CA
92220-4477
US

IV. Provider business mailing address

1641 ARENAS LN
SAN JACINTO CA
92583-6858
US

V. Phone/Fax

Practice location:
  • Phone: 951-849-7142
  • Fax: 951-849-1762
Mailing address:
  • Phone: 951-380-2082
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164X00000X
TaxonomyLicensed Vocational Nurse
License Number286935
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: