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Individual

GIOMARA HUALLANCA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1333 S MAYFLOWER AVE STE 220, MONROVIA, CA 91016-5239
(855) 295-3276
(888) 588-2752
Mailing address
1333 S MAYFLOWER AVE STE 220, MONROVIA, CA 91016-5239
(818) 241-6780
(888) 588-2752

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
172V00000X
Community Health Worker
CA
373H00000X
Day Training/Habilitation Specialist
Primary
CA

Other

Enumeration date
04/30/2024
Last updated
04/14/2026
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