Individual
CONNIE MILNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22416 ALISO PARK DR, LAKE FOREST, CA 92630-5501
(949) 215-8502
Mailing address
22416 ALISO PARK DR, LAKE FOREST, CA 92630-5501
(949) 215-8502
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
08/09/2019
Last updated
08/09/2019
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