Individual
ATHENA ORELLANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1950 S SUNWEST LN STE 200, SAN BERNARDINO, CA 92408-3248
(909) 252-4017
Mailing address
1950 S SUNWEST LN STE 200, SAN BERNARDINO, CA 92408-3248
(909) 252-4017
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
172V00000X
Community Health Worker
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/20/2023
Last updated
04/11/2024
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