Individual
ANTONIO CHARLES FIDLER-WOODARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1910 N BUSH ST, SANTA ANA, CA 92706-2816
(714) 361-7950
Mailing address
1910 N BUSH ST, SANTA ANA, CA 92706-2816
(714) 361-7950
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
107950
CA
Other
Enumeration date
09/14/2022
Last updated
06/24/2025
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