Individual
ANGELICA MARCILIA THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
5051 CANYON CREST DR STE 204, RIVERSIDE, CA 92507-6035
(951) 682-1488
Mailing address
5051 CANYON CREST DR STE 204, RIVERSIDE, CA 92507-6035
(951) 682-1488
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
94026982
CA
Other
Enumeration date
03/22/2023
Last updated
03/22/2023
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