Individual
BONNIE ELAINE RILEY OCONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPSS
Contact information
Practice address
950 N STATE ST STE E, HEMET, CA 92543-1485
(951) 654-2026
Mailing address
25967 YALE ST, HEMET, CA 92544-4877
(951) 581-6723
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-JYHGUQ
CA
Other
Enumeration date
05/01/2023
Last updated
03/10/2025
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