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16041 Kamana Rd Ste A Apple Valley CA 92307-1331 | |
| (760) 686-3389 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 16041 Kamana Rd Ste A, Apple Valley, California |
| Authorized Official Name and Position | Meliza Quinonez Kinney (CEO/OWNER) |
| Authorized Official Contact | 7605031208 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
16041 Kamana Rd Ste A Apple Valley CA 92307-1331 Ph: (760) 503-1208 | 16041 Kamana Rd Ste A Apple Valley CA 92307-1331 Ph: (760) 686-3389 |
| NPI Number | 1871255364 |
|---|---|
| Provider Enumeration Date | 10/12/2021 |
| Last Update Date | 12/02/2024 |
| Certification Date | 12/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871255364 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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