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Individual

MISS ANGELICA RUBY REA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
304 E SAN JOAQUIN ST, AVENAL, CA 93204-1346
(559) 826-9249
Mailing address
304 E SAN JOAQUIN ST, AVENAL, CA 93204-1346
(559) 826-9249

Taxonomy

Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
CA

Other

Enumeration date
09/07/2021
Last updated
09/07/2021
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