Individual
ARABAH KORSAH ENNINFUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
265 S ANITA DR STE 201, ORANGE, CA 92868-3346
(714) 410-3505
Mailing address
265 S ANITA DR STE 201, ORANGE, CA 92868-3346
(714) 410-3505
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
LPT41401
CA
Other
Enumeration date
10/24/2022
Last updated
03/10/2024
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