Individual
MINNIE KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
708 COURTLAND AVE, SAN JACINTO, CA 92583-5502
(951) 487-9794
Mailing address
708 COURTLAND AVE, SAN JACINTO, CA 92583-5502
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
10/18/2022
Last updated
10/18/2022
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