| Vssn | |
|
41593 Winchester Rd Ste 200 Temecula CA 92590-4857 | |
| (414) 577-9877 | |
| Not Available |
| Full Name | Vssn |
|---|---|
| Speciality | Social Worker |
| Location | 41593 Winchester Rd, Temecula, California |
| Authorized Official Name and Position | Daisy B Tate (BOARD CHAIR) |
| Authorized Official Contact | 4157798776 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vssn 41593 Winchester Rd Ste 200 Temecula CA 92590-4857 Ph: (415) 779-8776 | Vssn 41593 Winchester Rd Ste 200 Temecula CA 92590-4857 Ph: (414) 577-9877 |
| NPI Number | 1922838515 |
|---|---|
| Provider Enumeration Date | 08/07/2024 |
| Last Update Date | 08/07/2024 |
| Certification Date | 07/28/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922838515 | NPI | - | NPPES |
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