Healthcare Provider Details

I. General information

NPI: 1306602255
Provider Name (Legal Business Name): JEANETTE CURIEL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/27/2024
Last Update Date: 05/08/2025
Certification Date: 05/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21101 DALE EVANS PKWY
APPLE VALLEY CA
92307-9356
US

IV. Provider business mailing address

15345 BONANZA RD
VICTORVILLE CA
92392-2499
US

V. Phone/Fax

Practice location:
  • Phone: 760-961-6726
  • Fax:
Mailing address:
  • Phone: 760-552-6637
  • Fax: 909-387-7386

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: