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1144003153
FERDDAHIAM B MENDOZA LUNA
COVINA, CA
NPI
1144003153
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2023-08-15
Last Update Date
2023-08-15
Business Address
FERDDAHIAM B MENDOZA LUNA
4530 N BRIGHTVIEW DR
COVINA, CA 91722-2916
Phone number: 818-431-3769
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Mailing Address
FERDDAHIAM B MENDOZA LUNA
4530 N BRIGHTVIEW DR
COVINA, CA 91722-2916
Phone number: 818-431-3769
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