Individual
TOBY MICLAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1213 N VALLEJO WAY, UPLAND, CA 91786-3052
(714) 408-8996
Mailing address
199 ARLINGTON DR, CLAREMONT, CA 91711-2303
(714) 408-8996
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
CA
Other
Enumeration date
05/06/2024
Last updated
05/06/2024
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