Individual
GLORIA ALICIA ORELLANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDA
Contact information
Practice address
1725 W 17TH ST, SANTA ANA, CA 92706-2316
(714) 834-7511
Mailing address
421 S OLIVE ST APT 1, ORANGE, CA 92866-1941
(714) 837-7660
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
45211
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45211
RDA CA DENTAL BOARD
CA
Enumeration date
06/30/2016
Last updated
06/30/2016
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