Individual
JULIA PHEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2085 RUSTIN AVE STE 1, RIVERSIDE, CA 92507-2498
(951) 955-7161
Mailing address
2085 RUSTIN AVE STE 1, RIVERSIDE, CA 92507-2498
(951) 955-7161
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-HKYWNB
CA
Other
Enumeration date
08/18/2025
Last updated
08/18/2025
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