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Search › California › 101YA0400X

Ilse Ahumada, AA

NPI 1871156364 · on the registry since 2019 · sole proprietor

Practice

Address
1628 Broadway St Ste B
Vallejo, CA 94590
Phone
(707) 649-8300
Organisation at this address
Medmark Treatment Services, Inc.
Successful Alternatives For Addiction & Counseling Services, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
26

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-04-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California