Provider Demographics
NPI:1316684707
Name:ERASTUS, VERONICA NJERI
Entity type:Individual
Prefix:
First Name:VERONICA
Middle Name:NJERI
Last Name:ERASTUS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6387 POMEGRANATE CT
Mailing Address - Street 2:
Mailing Address - City:EASTVALE
Mailing Address - State:CA
Mailing Address - Zip Code:92880-7203
Mailing Address - Country:US
Mailing Address - Phone:714-732-7791
Mailing Address - Fax:
Practice Address - Street 1:6387 POMEGRANATE CT
Practice Address - Street 2:
Practice Address - City:EASTVALE
Practice Address - State:CA
Practice Address - Zip Code:92880-7203
Practice Address - Country:US
Practice Address - Phone:714-732-7791
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-17
Last Update Date:2022-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA282523164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse