Healthcare Provider Details

I. General information

NPI: 1710828462
Provider Name (Legal Business Name): BIONIQUE NURSING CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/04/2026
Last Update Date: 04/04/2026
Certification Date: 04/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4087 SUNDANCE LN
NORCO CA
92860-4202
US

IV. Provider business mailing address

4087 SUNDANCE LN
NORCO CA
92860-4202
US

V. Phone/Fax

Practice location:
  • Phone: 661-388-1756
  • Fax:
Mailing address:
  • Phone: 661-388-1756
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number
License Number State

VIII. Authorized Official

Name: JOANNIE HAMBEL
Title or Position: CEO
Credential:
Phone: 661-388-1756