Individual
ELIZABETH LARIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12188 HESPERIA RD, VICTORVILLE, CA 92395-5822
(760) 477-2199
Mailing address
12188 HESPERIA RD, VICTORVILLE, CA 92395-5822
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
Primary
MPSS-STIGVA
CA
Other
Enumeration date
09/26/2022
Last updated
10/10/2024
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