Individual
LILITH DEENA RANGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6840 INDIANA AVE STE 150, RIVERSIDE, CA 92506-4271
(951) 530-8257
Mailing address
4826 VAN BUREN BLVD APT 304, RIVERSIDE, CA 92503-3259
(951) 544-5339
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
L9639
CA
Other
Enumeration date
09/14/2019
Last updated
10/25/2022
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