Individual
ALEJANDRA BACILIO - MACIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6711 ARLINGTON AVE, RIVERSIDE, CA 92504-1955
(951) 352-3943
Mailing address
325 N PALM AVE, RIALTO, CA 92376-5827
(909) 961-4090
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/27/2021
Last updated
05/27/2021
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