Individual
ERICA MARIE TRAVIESO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
26605 SPARKS ST, HIGHLAND, CA 92346-5544
(909) 672-2047
Mailing address
26605 SPARKS ST, HIGHLAND, CA 92346-5544
(909) 672-2047
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
F7447886
CA
Other
Enumeration date
07/19/2023
Last updated
07/19/2023
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