Individual
ARIANE VERONICA MEDINA VILLICANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3380 LA SIERRA AVE STE 108, RIVERSIDE, CA 92503-5225
(951) 465-6982
Mailing address
1355 S PERRIS BLVD APT Y157, PERRIS, CA 92570-2577
(951) 623-5170
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
95245
CA
Other
Enumeration date
09/12/2020
Last updated
09/12/2020
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