Organization
4000 MOUNT ELENA CIRCLE CORONA, CA 92882
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICE K YOUSSEF (OWNER)
(626) 993-5823
Entity
Organization
Contact information
Practice address
4000 MOUNT ELENA CIR, CORONA, CA 92882-7916
(626) 993-5823
Mailing address
4000 MOUNT ELENA CIR, CORONA, CA 92882-7916
(626) 993-5823
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
12/07/2020
Last updated
12/07/2020
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