Individual
LAGWENDA HILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3125 MYERS ST, RIVERSIDE, CA 92503-5527
(951) 358-5862
Mailing address
3125 MYERS ST, RIVERSIDE, CA 92503-5527
(951) 358-5862
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
175T00000X
Peer Specialist
Primary
MPSS-STNPX
CA
Other
Enumeration date
08/03/2017
Last updated
02/05/2026
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