Individual
LETICIA BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CHHA
Contact information
Practice address
1700 IOWA AVE, SUITE 230, RIVERSIDE, CA 92507-2420
(951) 369-8604
(951) 715-4594
Mailing address
2686 W MILL ST, SPACE 36, SAN BERNARDINO, CA 92410-2060
(909) 384-1748
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
00031191
CA
Other
Enumeration date
02/06/2007
Last updated
07/08/2007
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