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1316244825
ELIDA RAQUEL UMANAMENENDEZ
LOS ANGELES, CA
NPI
1316244825
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2011-02-17
Last Update Date
2011-02-17
Business Address
-- ELIDA RAQUEL UMANAMENENDEZ
3210 W JEFFERSON BLVD
LOS ANGELES, CA 90018-3230
Phone number: 323-731-4981
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Mailing Address
-- ELIDA RAQUEL UMANAMENENDEZ
3210 W JEFFERSON BLVD
LOS ANGELES, CA 90018-3230
Phone number: 323-731-4981
Copy
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