Individual
ANTOINETTE RENEE HODGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
23967 EUCALYPTUS AVE #6, MORENO VALLEY, CA 92553
(951) 902-0662
Mailing address
23967 EUCALYPTUS AVE #6, MORENO VALLEY, CA 92553
(951) 902-0662
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN225853
CA
Other
Enumeration date
04/11/2012
Last updated
04/11/2012
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