Individual
MAXINE ABELLANOSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
35320 DAGGETT YERMO RD, YERMO, CA 92398-0408
(760) 514-6888
Mailing address
20821 US HIGHWAY 18, APPLE VALLEY, CA 92307-3549
(909) 215-8065
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
210050499
CA
Other
Enumeration date
07/22/2025
Last updated
07/22/2025
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