Search › California › 1041C0700X

Dretona Maddox, RN, PHN, LCSW

NPI 1417083643 · on the registry since 2007

Practice

Address
1410 3rd St
Suite 2
Riverside, CA 92507
Phone
(909) 471-0697
Fax
(760) 302-7607
Organisation at this address
Hope Medical Supply
Purposely Chosen, Inc.
Jorge H. Zamudio Dds Inc.
Buchanan Family Foundation
Iampurpose Wellness Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
10

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
163W00000X
163WC0400X
163WC1500X
163WC1600X
163WM0102X
163WN0002X
163WN0003X
163WN1003X
163WP0200X
163WP0807X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-08-08

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