LYDIA QUINTANILLS

LOS ANGELES, CA
NPI1609300508
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R1237331116)
Enumeration Date2017-04-18
Last Update Date2017-04-18
Business Address
-- LYDIA QUINTANILLS R1237331116
3756 SANTA ROSALIA DR SUITE 617
LOS ANGELES, CA 90008
Phone number: 323-296-1840
Mailing Address
-- LYDIA QUINTANILLS R1237331116
8414 12 SAN VINCENTE
LOS ANGELES, CA 90250
Phone number: 323-810-3153