Individual
MILAGROS LIZETH HENRIQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1162 E 19TH ST UNIT 1220, UPLAND, CA 91784-4232
(562) 443-0491
Mailing address
1162 E 19TH ST UNIT 1220, UPLAND, CA 91784-4232
(562) 443-0491
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
07/27/2021
Last updated
07/27/2021
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