Individual
LORENA SIMO MOLINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PARAPROFESSIONAL
Contact information
Practice address
3125 MYERS ST, RIVERSIDE, CA 92503-5527
(760) 851-4601
Mailing address
47825 OASIS ST, INDIO, CA 92201-6950
(760) 851-4601
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
DIGHZPBVUTWKEYOJ
CA
175T00000X
Peer Specialist
—
CA
175T00000X
Peer Specialist
—
—
Other
Enumeration date
09/12/2019
Last updated
03/21/2023
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