Individual
REBECCA RUTH DODGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13586 DELAWARE RD, APPLE VALLEY, CA 92308-6178
(760) 900-3998
Mailing address
13586 DELAWARE RD, APPLE VALLEY, CA 92308-6178
(760) 900-3998
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
CA
Other
Enumeration date
09/13/2019
Last updated
09/13/2019
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