VIDETH OK

LONG BEACH, CA
NPI1336562545
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2014-01-23
Last Update Date2014-01-23
Business Address
-- VIDETH OK
1900 ATLANTIC AVE
LONG BEACH, CA 90806-5502
Phone number: 562-218-9530
Mailing Address
-- VIDETH OK
1088 S LA BREA AVE
LOS ANGELES, CA 90019-6905
Phone number: 562-218-9530
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