LUZ GUADALUPE PORTUGAL

SAN DIEGO, CA
NPI1053989020
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Additional Taxonomies174400000X Specialist
Enumeration Date2021-06-15
Last Update Date2024-03-14
Business Address
LUZ GUADALUPE PORTUGAL
6145 IMPERIAL AVE
SAN DIEGO, CA 92114-4213
Phone number: 619-234-8888
Mailing Address
LUZ GUADALUPE PORTUGAL
6145 IMPERIAL AVE
SAN DIEGO, CA 92114-4213
Phone number: 619-234-8888
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