Individual
AMY HIGGINBOTHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
2743 ORANGE ST, RIVERSIDE, CA 92501-2503
(951) 788-9515
(951) 788-2526
Mailing address
26000 W LUGONIA AVE APT 2422, REDLANDS, CA 92374-5108
(951) 692-6631
(951) 686-6614
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
257883
CA
Other
Enumeration date
09/19/2025
Last updated
05/08/2026
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