Individual
CHARLENE MAHAFFEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18221 E 17TH ST, SANTA ANA, CA 92705-2676
(714) 730-0930
Mailing address
18221 E 17TH ST, SANTA ANA, CA 92705-2676
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/22/2021
Last updated
07/27/2021
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