Individual
ILIANA SOLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
727 SHASTA ST, REDWOOD CITY, CA 94063-2124
(650) 533-1033
Mailing address
727 SHASTA ST, REDWOOD CITY, CA 94063-2124
(650) 533-1033
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-JDSNZM
CA
Other
Enumeration date
03/04/2022
Last updated
04/13/2023
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