LIDIA AMPARO QUIAHUA

KING CITY, CA
NPI1407329659
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R1332581218)
Enumeration Date2019-01-09
Last Update Date2019-01-09
Business Address
LIDIA AMPARO QUIAHUA tba
641 BROADWAY ST
KING CITY, CA 93930-3231
Phone number: 831-525-8101
Mailing Address
LIDIA AMPARO QUIAHUA tba
324 N 3RD ST
KING CITY, CA 93930-2808
Phone number: