Provider Demographics
NPI:1518259704
Name:HOSMER, MAEVA ILIANA
Entity Type:Individual
Prefix:MRS
First Name:MAEVA
Middle Name:ILIANA
Last Name:HOSMER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7560 CANDLELIGHT DR.
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92509-6907
Mailing Address - Country:US
Mailing Address - Phone:909-286-3066
Mailing Address - Fax:
Practice Address - Street 1:7560 CANDLELIGHT DR
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92509-6907
Practice Address - Country:US
Practice Address - Phone:909-286-3066
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-06
Last Update Date:2011-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist