Individual
KENTON PAUL MULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9990 COUNTY FARM RD STE 5, RIVERSIDE, CA 92503-3542
(951) 358-3509
Mailing address
9990 COUNTY FARM RD STE 5, RIVERSIDE, CA 92503-3542
(951) 358-3509
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
Primary
MPSS-YSAQNH
CA
Other
Enumeration date
06/27/2023
Last updated
08/08/2024
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