Individual provider · NPI-1

Esmeralina Soonalole Faiesea Afa

Community Health Worker · Los Angeles, CA

NPI number1497577449
StatusActive
Last updated in NPPESOct 30, 2024

Details

NPI
1497577449
Entity type
Individual (NPI-1)
Name
Esmeralina Soonalole Faiesea Afa
Sex
Female
Sole proprietor
No
Enumeration date
Oct 30, 2024
Certification date
Oct 30, 2024
Last updated
Oct 30, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172V00000X Community Health Worker––Yes

Practice location

11601 S Western Ave
Los Angeles, CA 90047-5006

Phone 323-516-2866

Mailing address

11601 S Western Ave
Los Angeles, CA 90047-5006

Phone 323-516-2866

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