Individual
AVIVA MALEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2080 S E ST, SAN BERNARDINO, CA 92408-2773
(909) 388-9191
(909) 388-9195
Mailing address
2080 S E ST, SAN BERNARDINO, CA 92408-2773
(909) 388-9191
(909) 388-9195
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
100933
CA
Other
Enumeration date
03/17/2010
Last updated
12/11/2023
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