Individual
ANGELA GAY WAKEFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11201 BENTON ST, LOMA LINDA, CA 92357-1000
(909) 583-6009
(909) 777-3236
Mailing address
11201 BENTON ST, LOMA LINDA, CA 92357-1000
(909) 583-6009
(909) 777-3236
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/10/2010
Last updated
08/10/2010
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