Individual
CHALITA SHANAE ANTOMMARCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 N INDIAN HILL BLVD STE C2-202, CLAREMONT, CA 91711-4670
(909) 521-8651
Mailing address
24898 SANITARIUM DR LINDSAY HALL BOX 106, LOMA LINDA, CA 92350-0001
(703) 401-3961
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
03/25/2021
Last updated
03/25/2021
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