Individual
ANGELIQUE IRVING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPH
Contact information
Practice address
1866 B ST STE 101, HAYWARD, CA 94541-3184
(510) 334-0235
Mailing address
1866 B ST STE 101, HAYWARD, CA 94541-3184
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/23/2024
Last updated
10/23/2024
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