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Contact Information

ILIANA B HENDRIX, CST
22726 MADRID DR
LAKE FOREST, CA92630-4625
 Phone: 949-434-9044
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type
 

Nurse's Aide

376K00000X
 

Personal Care Attendant

3747P1801X
 

Technician

374700000X
Indicates primary specialty

NPI Profile & details for ILIANA B HENDRIX · (Female)

NPI # 1629665518
Status Active
Credentials CST
Entity Individual
Enumeration date 12/24/2020
Last updated 06/10/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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