Individual
AMY KALLAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4065 COUNTY CIRCLE DR, RIVERSIDE, CA 92503-3410
(951) 358-7171
Mailing address
4065 COUNTY CIRCLE DR, RIVERSIDE, CA 92503-3410
(951) 358-7171
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
CA
Other
Enumeration date
05/08/2024
Last updated
05/08/2024
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