Individual
ALICIA MARIE MALDONADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
12730 FOOTHILL BLVD., STE#101 BODYLOGICS, RANCHO CUCAMONGA, CA 91739
(909) 899-3920
(909) 899-3926
Mailing address
12730 FOOTHILL BLVD., STE#101 BODYLOGICS, RANCHO CUCAMONGA, CA 91739
(909) 899-3920
(909) 899-3926
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
261723
CA
Other
Enumeration date
04/02/2012
Last updated
04/02/2012
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