Individual
ANNETTE AHUMADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16314 CORNUTA AVE, BELLFLOWER, CA 90706-4814
(562) 461-9272
Mailing address
16314 CORNUTA AVE, BELLFLOWER, CA 90706-4814
(562) 461-9272
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
RI-A1404241010
CA
Other
Enumeration date
02/18/2016
Last updated
02/22/2016
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