ISRAEL IVAN SALCIDO

CHULA VISTA, CA
NPI1487116943
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225XM0800X Occupational Therapist, Mental Health
(Licence: CA  Y4560897)
Enumeration Date2019-04-03
Last Update Date2019-04-03
Business Address
ISRAEL IVAN SALCIDO
240 QUINTARD ST APT 53
CHULA VISTA, CA 91911-4933
Phone number: 619-410-9926
Mailing Address
ISRAEL IVAN SALCIDO
240 QUINTARD ST APT 53
CHULA VISTA, CA 91911-4933
Phone number:
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