Ahumada, Ilse

Ahumada, Ilse is an sole proprietor health care provider with primary practice located at 1628 Broadway St Ste B , Vallejo CA 94590-2405. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Ahumada, Ilse can be contacted via phone (707) 649-8300.

Contact Information

Primary practice address
1628 Broadway St Ste B Vallejo CA 94590-2405
Phone: (707) 649-8300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X R1285781217 California

Profile Details

NPI number 1871156364
LBN Legal business name Ahumada, Ilse
Credentials Associate of Arts (AA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 19th, 2019
Last updated Apr 19th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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