Individual
AUMOND L ARCHIBALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13800 HEACOCK ST, C236, MORENO VALLEY, CA 92553-3339
(951) 653-0819
Mailing address
12228 ROSEVILLE DR, RANCHO CUCAMONGA, CA 91739-2438
(909) 728-6735
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/25/2014
Last updated
07/11/2014
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