Individual
ELIAS ANTONI RANGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2080 S E ST, SAN BERNARDINO, CA 92408-2773
(909) 433-9300
Mailing address
2080 S E ST, SAN BERNARDINO, CA 92408-2773
(909) 433-9300
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
CA
175T00000X
Peer Specialist
Primary
—
CA
Other
Enumeration date
01/03/2022
Last updated
06/06/2024
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