Individual
LETICIA M MILLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
24509 LOS ALISOS BLVD APT 101, LAGUNA HILLS, CA 92653-4234
(714) 928-8226
Mailing address
24509 LOS ALISOS BLVD APT 101, LAGUNA HILLS, CA 92653-4234
(714) 928-8226
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
C6627742
CA
Other
Enumeration date
04/23/2018
Last updated
04/23/2018
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