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1992536296
JOHNNELL PAMELA ALVA
SAN JOSE, CA
NPI
1992536296
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2024-08-09
Last Update Date
2024-08-09
Business Address
JOHNNELL PAMELA ALVA
2202 N 1ST ST
SAN JOSE, CA 95131-2007
Phone number: 408-538-0880
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Mailing Address
JOHNNELL PAMELA ALVA
1136 SILVERLAKE DR
SUNNYVALE, CA 94089-2026
Phone number: 310-557-6242
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