Provider Demographics
NPI:1710864988
Name:PATTERSON, LUCIA VALENTINA
Entity type:Individual
Prefix:
First Name:LUCIA
Middle Name:VALENTINA
Last Name:PATTERSON
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 1:14606 WOODLAND DR UNIT 4
Mailing Address - Street 2:
Mailing Address - City:FONTANA
Mailing Address - State:CA
Mailing Address - Zip Code:92337-2715
Mailing Address - Country:US
Mailing Address - Phone:909-997-4427
Mailing Address - Fax:
Practice Address - Street 1:14606 WOODLAND DR UNIT 4
Practice Address - Street 2:
Practice Address - City:FONTANA
Practice Address - State:CA
Practice Address - Zip Code:92337-2715
Practice Address - Country:US
Practice Address - Phone:909-997-4427
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-19
Last Update Date:2025-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach