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NPI Code Detail

MEDICARE: ROSE MARIE HYLTON

MEDICARE: ROSE MARIE HYLTON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1164X00000XLicensed Vocational Nurse280356CA

General Provider Information

NPI Number : 1265099048
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROSE MARIE HYLTON
Provider Business Mailing Address
First Line : 3933 HARRISON ST
Second Line :
City : RIVERSIDE
State : CA
Zip : 92503-3523
Country : US
Telephone Number : 909-550-9644
Fax Number :
Provider Business Practice Location Address
First Line : 3933 HARRISON ST
Second Line :
City : RIVERSIDE
State : CA
Zip : 92503-3523
Country : US
Telephone Number : 909-550-9644
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/28/2019
Last Update Date : 01/31/2024

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Directions to “ ROSE MARIE HYLTON ” Practice Location

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