Individual
ANGELITA E MACIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1297 W HOBSONWAY, BLYTHE, CA 92225-1423
(760) 921-5000
Mailing address
1297 W HOBSONWAY, BLYTHE, CA 92225-1423
(760) 921-5000
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
03/19/2014
Last updated
05/31/2024
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