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1023299567
NINOTSCHKA FONSECA
NORTH HOLLYWOOD, CA
NPI
1023299567
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-11-26
Last Update Date
2007-11-26
Business Address
-- NINOTSCHKA FONSECA
4928 LANKERSHIM BLVD
NORTH HOLLYWOOD, CA 91601-4443
Phone number: 818-763-7919
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Mailing Address
-- NINOTSCHKA FONSECA
1508 S 4TH ST
ALHAMBRA, CA 91803-3321
Phone number: 626-281-8933
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