Individual
MRS. ANGELIQUE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
56530 29 PALMS HWY UNIT C, YUCCA VALLEY, CA 92284-2864
(951) 464-8587
Mailing address
387 MAGNOLIA AVE STE 103538, CORONA, CA 92879-3307
(323) 337-4504
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
174200000X
Meals Provider
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
332U00000X
Home Delivered Meals
—
—
Other
Enumeration date
05/05/2025
Last updated
05/05/2025
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