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Individual

ROMEL HENDRIX

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3654 PONDEROSA AVE, RIALTO, CA 92377-3426
(909) 822-8166
Mailing address
3654 PONDEROSA AVE, RIALTO, CA 92377-3426
(909) 822-8166

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
1310047
CA
253Z00000X
In Home Supportive Care Agency
Primary
1310047
CA

Other

Enumeration date
09/08/2014
Last updated
09/08/2014
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