Individual
COLUMBA CHAIDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.A.
Contact information
Practice address
3100 S HARBOR BLVD, SUITE 200, SANTA ANA, CA 92704-6823
(714) 966-8698
Mailing address
3100 S HARBOR BLVD, SUITE 200, SANTA ANA, CA 92704-6823
(714) 966-8698
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/17/2008
Last updated
04/17/2008
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