Individual
BAMBI ARIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12625 HEACOCK ST, MORENO VALLEY, CA 92553-0538
(951) 486-7715
Mailing address
12625 HEACOCK ST, MORENO VALLEY, CA 92553-0538
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/18/2021
Last updated
06/18/2021
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