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1053958595
ELENA VIDANA
ANAHEIM, CA
NPI
1053958595
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1359560819)
Enumeration Date
2019-12-03
Last Update Date
2020-02-11
Business Address
ELENA VIDANA R1359560819
710 N ANAHEIM BLVD
ANAHEIM, CA 92805-2651
Phone number: 714-776-7490
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Mailing Address
ELENA VIDANA R1359560819
710 N ANAHEIM BLVD
ANAHEIM, CA 92805-2651
Phone number: 714-776-7490
Copy
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