Provider Demographics
NPI:1487994943
Name:PRECIADO, LILIANA (CRT, RCP,)
Entity type:Individual
Prefix:
First Name:LILIANA
Middle Name:
Last Name:PRECIADO
Suffix:
Gender:F
Credentials:CRT, RCP,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9200 MILLIKEN AVE APT 12318
Mailing Address - Street 2:
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91730-8536
Mailing Address - Country:US
Mailing Address - Phone:909-319-4033
Mailing Address - Fax:
Practice Address - Street 1:9200 MILLIKEN AVE APT 12318
Practice Address - Street 2:
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91730-8536
Practice Address - Country:US
Practice Address - Phone:909-319-4033
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-21
Last Update Date:2013-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA32280227800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Certified