SearchCalifornia101YA0400X

Theresa Halcon

NPI 1316240930 · on the registry since 2010

Practice

Address
24384 Sunnymead Blvd Ste 240
Moreno Valley, CA 92553
Phone
(951) 243-0303
Fax
(951) 243-3006
Organisation at this address
Immaculate Care Center,Inc
Immaculate Care Centr Inc.
Immaculate Care Center Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
7

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Sex
Female
Record last updated
2011-01-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California