Individual
ADELMA VILLA PADILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
1400 W MINTHORN ST, LAKE ELSINORE, CA 92530-2808
(951) 245-3234
Mailing address
1400 W MINTHORN ST, LAKE ELSINORE, CA 92530-2808
(951) 245-3234
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4100211645-83600-523
—
CA
Enumeration date
11/07/2019
Last updated
11/07/2019
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