CIDDY FONTEBOA

EL MONTE, CA
NPI1417512484
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2019-05-06
Last Update Date2019-05-06
Business Address
CIDDY FONTEBOA
11041 VALLEY BLVD
EL MONTE, CA 91731-2516
Phone number: 626-442-4177
Mailing Address
CIDDY FONTEBOA
11041 VALLEY BLVD
EL MONTE, CA 91731-2516
Phone number: 626-442-4177