Individual
MICHELLE DILLEY REVIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9961 SIERRA AVE, FONTANA, CA 92335-6720
(909) 427-5000
Mailing address
3020 CHILDRENS WAY # MC5124, SAN DIEGO, CA 92123-4223
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
A165333
CA
Other
Enumeration date
04/10/2018
Last updated
03/11/2024
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