Provider Demographics
NPI:1669349031
Name:HRISTEVA, MILENA MINKOVA
Entity type:Individual
Prefix:
First Name:MILENA
Middle Name:MINKOVA
Last Name:HRISTEVA
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 1:23430 CALISTOGA PL
Mailing Address - Street 2:
Mailing Address - City:RAMONA
Mailing Address - State:CA
Mailing Address - Zip Code:92065-4309
Mailing Address - Country:US
Mailing Address - Phone:916-879-0902
Mailing Address - Fax:
Practice Address - Street 1:23430 CALISTOGA PL
Practice Address - Street 2:
Practice Address - City:RAMONA
Practice Address - State:CA
Practice Address - Zip Code:92065-4309
Practice Address - Country:US
Practice Address - Phone:916-879-0902
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-21
Last Update Date:2025-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider