Individual
IRMA ESTELA MACIAS DE MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
450 W 4TH ST, SANTA ANA, CA 92701-4562
(714) 542-7792
Mailing address
1507 N DURANT ST APT 31, SANTA ANA, CA 92706-4041
(714) 650-1104
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
06/27/2024
Last updated
06/27/2024
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