Provider Information for 1265842702
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ABRIA HOSKINS
Sex: Female
NPI: 1265842702
Last Updated: 2022-06-15
Certification Date: 2022-06-12
Certification Date: 2022-06-12
Details
| Name | Value | ||||||||||||||||
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| NPI | 1265842702 | ||||||||||||||||
| Enumeration Date | 2014-05-06 | ||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||
| Sole Proprietor | NO | ||||||||||||||||
| Status | Active | ||||||||||||||||
| Mailing Address | 2275 S MAIN ST STE 201 CORONA, CA 92882-5303 United States Phone: 951-279-1333 | Fax: | ||||||||||||||||
| Primary Practice Address | FIFTH STREET & WESTERN AVE. NORCO, CA 92860 United States Phone: 951-737-2683 | Fax: | ||||||||||||||||
| Secondary Practice Address(es) | 2275 S MAIN ST STE 201 | ||||||||||||||||
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