Individual
AILEEN MIQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
371 N WESTON PL, HEMET, CA 92543-3006
(951) 791-4199
Mailing address
7917 TAPIA ST, FONTANA, CA 92336-3816
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
07/19/2021
Last updated
04/11/2023
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