Individual
JENNIE FIDELA TERRIQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4275 LEMON ST, RIVERSIDE, CA 92501-3844
(951) 788-3471
Mailing address
4275 LEMON ST, RIVERSIDE, CA 92501-3844
(951) 788-3471
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/03/2025
Last updated
03/03/2025
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