Individual
NANCY ALCANTAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2085 RUSTIN AVE, RIVERSIDE, CA 92507-2498
(951) 715-5040
Mailing address
3125 MYERS ST, RIVERSIDE, CA 92503-5527
(951) 358-4840
(951) 358-4848
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
Primary
MPSS-OYVUJM
CA
Other
Enumeration date
07/22/2015
Last updated
11/01/2023
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