Most Relevant Information
Provider Data
| NPI Number: | 1003421728 |
| Provider Name: | ELVIA MACIAS |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/10/2020 |
| Last Updated: | 09/10/2020 |
Provider Practice Location
11015 BLOOMFIELD AVE
SANTA FE SPRINGS
CA
906704601
Practice Location Phone/Fax
| Phone: | 5629062676 |
| Fax: |
Provider Mailing Location
11015 BLOOMFIELD AVE
SANTA FE SPRINGS
CA
906704601
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |