Individual
ANGELIQUE CUMMINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1597 BAKER ST, COSTA MESA, CA 92626-3746
(714) 435-7940
Mailing address
1597 BAKER ST, COSTA MESA, CA 92626-3746
(714) 435-7940
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
CA
225400000X
Rehabilitation Practitioner
—
CA
Other
Enumeration date
09/05/2019
Last updated
04/02/2025
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