Search › California › 163W00000X
Marivic Gay Lustre
NPI 1205207297 · on the registry since 2015
Practice
- Address
- 3049 Canyon Vista Dr
Colton, CA 92324 - Phone
- (909) 465-3973
- Organisation at this address
- True Care And Compassion Inc.
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-10-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California