Individual
ARLENE ADRIENNE LONGORIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13800 HEACOCK ST, SUITE #C236, MORENO VALLEY, CA 92553-3339
(951) 653-0819
Mailing address
13800 HEACOCK ST, SUITE #C236, MORENO VALLEY, CA 92553-3339
(951) 653-0819
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
04/06/2009
Last updated
04/06/2009
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