Individual
ALYSIANA ELIZALDE TAHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15217 SAN BERNARDINO AVE, FONTANA, CA 92335-5327
(951) 643-2150
Mailing address
PO BOX 2384, CORONA, CA 92878-2384
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
118714
CA
Other
Enumeration date
05/11/2026
Last updated
05/11/2026
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