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Individual

ANGELINA MIRANDA TEVES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
HOME CARE AIDE

Contact information

Practice address
13827 REVA ST, CERRITOS, CA 90703-9061
(562) 688-1187
(714) 880-6053
Mailing address
13827 REVA ST, CERRITOS, CA 90703-9061
(562) 688-1187
(714) 880-6053

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
194700596
CA

Other

Enumeration date
04/08/2019
Last updated
04/08/2019
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