Provider Information for 1316107048
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ANNETTE MALIJEN MFT
Sex: Female
NPI: 1316107048
Last Updated: 2008-06-16
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1316107048 | ||||||||
| Enumeration Date | 2008-06-16 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 622 S LIVE OAK DR ANAHEIM, CA 92805-4814 United States Phone: 714-935-7538 | Fax: | ||||||||
| Primary Practice Address | 622 S LIVE OAK DR ANAHEIM, CA 92805-4814 United States Phone: 714-935-7538 | Fax: | ||||||||
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