Individual
EDRINA POBLETE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14989 BLUE GRASS DR # 2250, HELENDALE, CA 92342-7727
(760) 994-2123
Mailing address
14989 BLUE GRASS DR # 2250, HELENDALE, CA 92342-7727
(760) 994-2123
Taxonomy
Speciality
Code
Description
License number
State
342000000X
Transportation Network Company
Primary
—
—
Other
Enumeration date
03/06/2025
Last updated
03/06/2025
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