Individual
HAFSA AFHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
518 S BROOKHURST ST STE 5, ANAHEIM, CA 92804-2447
(646) 906-6123
Mailing address
518 S BROOKHURST ST STE 5, ANAHEIM, CA 92804-2447
(646) 906-6123
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Enumeration date
08/14/2023
Last updated
08/14/2023
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