Individual
ALICIA DENISE SEALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16000 YUCCA ST, HESPERIA, CA 92345-3517
(760) 669-0300
Mailing address
16000 YUCCA ST, HESPERIA, CA 92345-3517
(760) 669-0300
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
172V00000X
CA
Other
Enumeration date
06/24/2024
Last updated
06/24/2024
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