Individual
ALLY POPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2085 RUSTIN AVE BLDG 1, RIVERSIDE, CA 92507-2498
(800) 499-3008
Mailing address
2085 RUSTIN AVE BLDG 1, RIVERSIDE, CA 92507-2498
(800) 499-3008
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
Primary
MPSS-SYXZTP
CA
Other
Enumeration date
11/17/2023
Last updated
06/26/2024
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