Individual
MR. ELMER VIDANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1227 W 17TH ST, SANTA ANA, CA 92706-3455
(909) 634-0360
Mailing address
1227 W 17TH ST, SANTA ANA, CA 92706-3455
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
CA
Other
Enumeration date
10/15/2012
Last updated
10/15/2012
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