Individual
MS. EDNA ANN HYDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
37755 GOLDEN EAGLE AVE, MURRIETA, CA 92563-7907
(760) 994-9125
Mailing address
26900 WINCHESTER CREEK AVE APT 5204, MURRIETA, CA 92563-4108
(818) 620-8035
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C5931335
DRIVER LICENSE
CA
Enumeration date
11/20/2019
Last updated
11/20/2019
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