Organization
ALTAMED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA JESUS SKREDE (PROMOTORA I)
(888) 499-9303
Entity
Organization
Contact information
Practice address
1814 W LINCOLN AVE, ANAHEIM, CA 92801-6730
(888) 499-9303
Mailing address
25 IMA LOAT CT., NEWPORT BEACH, CA 92663
(760) 554-1711
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
174H00000X
—
Other
Enumeration date
11/01/2012
Last updated
11/01/2012
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