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NPI Code Detail

MEDICARE: MARLENE CONTRERAS LVN

MEDICARE: MARLENE CONTRERAS LVN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1164X00000XLicensed Vocational Nurse757601CA

General Provider Information

NPI Number : 1306772868
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARLENE CONTRERAS LVN
Provider Business Mailing Address
First Line : 3950 REYNOLDS RD
Second Line :
City : RIVERSIDE
State : CA
Zip : 92503-3517
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3950 REYNOLDS RD
Second Line :
City : RIVERSIDE
State : CA
Zip : 92503-3517
Country : US
Telephone Number : 909-372-8353
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2026
Last Update Date : 06/22/2026

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Directions to “ MARLENE CONTRERAS LVN” Practice Location

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