Individual
ANH MAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17732 BEACH BLVD STE G, HUNTINGTON BEACH, CA 92647-6881
(714) 655-7142
Mailing address
17732 BEACH BLVD STE G, HUNTINGTON BEACH, CA 92647-6881
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/05/2021
Last updated
09/05/2021
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