LILLIAN DENISE MANCILLA-ORTIZ

LAKE VIEW TERRACE, CA
NPI1417132010
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  504101853)
Enumeration Date2008-01-02
Last Update Date2008-01-02
Business Address
-- LILLIAN DENISE MANCILLA-ORTIZ RAS
11600 ELDRIDGE AVE
LAKE VIEW TERRACE, CA 91342-6506
Phone number: 818-686-3257
Mailing Address
-- LILLIAN DENISE MANCILLA-ORTIZ RAS
11600 ELDRIDGE AVE
LAKE VIEW TERRACE, CA 91342-6506
Phone number: 818-686-3257
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