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Organization
PATRICIO AND SANDRA BRACERO HAVEN, INC
Active
Organization
PATRICIO AND SANDRA BRACERO HAVEN, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL P MARTINEZ (CEO)
(760) 493-7831
Entity
Organization
Contact information
Practice address
15475 SENECA RD STE B, VICTORVILLE, CA 92392-2299
(702) 493-7831
(760) 493-2875
Mailing address
15475 SENECA RD STE B, VICTORVILLE, CA 92392-2299
(702) 493-7831
(760) 493-2875
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
04/13/2023
Last updated
10/28/2024
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