Individual
ALEAH EDMONDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
14901 CENTRAL AVE, CHINO, CA 91710-9500
(909) 597-1821
Mailing address
14901 CENTRAL AVE, CHINO, CA 91710-9500
(909) 597-1821
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/30/2025
Last updated
06/30/2025
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