Individual
AFIAWAN EKPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24028 LAKE DR, SUITE A, CRESTLINE, CA 92325
(909) 338-3222
Mailing address
7785 SILVER BUCKLE RD, HIGHLAND, CA 92346-5820
(901) 228-2968
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
01/24/2023
Last updated
02/13/2023
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