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Individual

MRS. REBECCA MARION HOFMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
B.A

Contact information

Practice address
900 E GILBERT ST, SAN BERNARDINO, CA 92415-0911
(909) 387-7406
Mailing address
17195 VIA LOS CABALLEROS, RIVERSIDE, CA 92504-6138
(951) 536-9890

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
CA
175T00000X
Peer Specialist
CA
372600000X
Adult Companion
Primary
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1912105941
CA
Enumeration date
07/11/2007
Last updated
06/01/2026
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