Provider Information for 1235560491
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KARI MICHELLE HIDALGO
Sex: Female
NPI: 1235560491
Last Updated: 2016-10-06
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1235560491 | ||||||||
| Enumeration Date | 2013-12-12 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 101 E REDLANDS BLVD SUITE 215 REDLANDS, CA 92373-4775 United States Phone: 909-793-1078 | Fax:909-335-7330 | ||||||||
| Primary Practice Address | 101 E REDLANDS BLVD SUITE 215 REDLANDS, CA 92373-4775 United States Phone: 909-793-1078 | Fax:909-335-7330 | ||||||||
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