Individual
ALYSSA RENAE AHUMADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1601 E CHESTNUT AVE, SANTA ANA, CA 92701-6322
(714) 558-5501
Mailing address
1801 TOWN AND COUNTRY DR UNIT 5733, NORCO, CA 92860-8187
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/06/2023
Last updated
10/14/2024
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