Most Relevant Information
Provider Data
| NPI Number: | 1003571183 |
| Provider Name: | JYLISSA REDLING |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/03/2021 |
| Last Updated: | 11/03/2021 |
Provider Practice Location
7281 DUMOSA AVE STE 4
YUCCA VALLEY
CA
922843781
Practice Location Phone/Fax
| Phone: | 7608534755 |
| Fax: |
Provider Mailing Location
7281 DUMOSA AVE STE 4
YUCCA VALLEY
CA
922843781
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |