Individual
TODD ALEXANDER BERNEYFICKLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
19531 MCLANE STREET, STE A, PALM SPRINGS, CA 92262
(760) 251-2346
Mailing address
5870 ARLINGTON AVE, RIVERSIDE, CA 92504-2037
(866) 218-4697
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-DKSIUO
CA
Other
Enumeration date
05/08/2023
Last updated
07/14/2023
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