| Healed Women Heal | |
|
436 W 4th St # 225 Pomona CA 91766-1622 | |
| (909) 815-7815 | |
| Not Available |
| Full Name | Healed Women Heal |
|---|---|
| Speciality | Prevention Professional |
| Location | 436 W 4th St # 225, Pomona, California |
| Authorized Official Name and Position | Tracy Evanson (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9098157815 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healed Women Heal 436 W 4th St # 225 Pomona CA 91766-1622 Ph: (909) 815-7815 | Healed Women Heal 436 W 4th St # 225 Pomona CA 91766-1622 Ph: (909) 815-7815 |
| NPI Number | 1366282188 |
|---|---|
| Provider Enumeration Date | 05/29/2024 |
| Last Update Date | 05/30/2024 |
| Certification Date | 05/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366282188 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 405300000X | Prevention Professional | (* (Not Available)) | Primary |
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