INGGA SUBUR MAC

TRABUCO CANYON, CA
NPI1508540923
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R1497000223)
Enumeration Date2023-06-14
Last Update Date2023-06-14
Business Address
INGGA SUBUR MAC RADT
20331 FLANAGAN ROAD
TRABUCO CANYON, CA 92679
Phone number: 818-582-8832
Mailing Address
INGGA SUBUR MAC RADT
1225 W MYRTLE ST
SANTA ANA, CA 92703-4510
Phone number: 714-468-8878
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