Healthcare Provider Details

I. General information

NPI: 1659181428
Provider Name (Legal Business Name): ALMA ELIZABETH ALDAMA PPS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/13/2025
Last Update Date: 01/13/2025
Certification Date: 01/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22241 S MURPHY RD
RIPON CA
95366-9706
US

IV. Provider business mailing address

1628 DAVID DR
ESCALON CA
95320-2124
US

V. Phone/Fax

Practice location:
  • Phone: 209-599-7145
  • Fax:
Mailing address:
  • Phone: 209-214-2521
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: