Individual
ANEL JUDITH BEJARANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
23119 COTTONWOOD AVE STE A110, MORENO VALLEY, CA 92553-6622
(951) 413-5678
(951) 413-5660
Mailing address
23119 COTTONWOOD AVE STE A110, MORENO VALLEY, CA 92553-6622
(951) 413-5678
(951) 413-5660
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
Primary
MPSS-EGJINU
CA
175T00000X
Peer Specialist
—
—
Other
Enumeration date
04/11/2023
Last updated
06/07/2024
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