ROOSEVELT ULLOAVALDIVIESO

SAN DIEGO, CA
NPI1538559281
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2015-02-03
Last Update Date2015-02-03
Business Address
-- ROOSEVELT ULLOAVALDIVIESO
6160 MISSION GORGE RD STE 108
SAN DIEGO, CA 92120-3425
Phone number: 619-481-5200
Mailing Address
-- ROOSEVELT ULLOAVALDIVIESO
6160 MISSION GORGE RD STE 108
SAN DIEGO, CA 92120-3425
Phone number: 619-481-5200