Individual
DONNOVAN VILCHIS MALDONADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
2130 E 4TH ST STE 200, SANTA ANA, CA 92705-3818
(714) 543-5437
Mailing address
2130 E 4TH ST STE 200, SANTA ANA, CA 92705-3818
(714) 543-5437
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
ACSW118723
CA
Other
Enumeration date
08/18/2023
Last updated
05/09/2024
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