Individual
JILL FLORES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1370 S STATE ST STE B, SAN JACINTO, CA 92583-4922
(951) 791-3596
Mailing address
1370 S STATE ST STE B, SAN JACINTO, CA 92583-4922
(951) 791-3596
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
Primary
—
CA
Other
Enumeration date
09/28/2017
Last updated
01/23/2024
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