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1609300508
LYDIA QUINTANILLS
LOS ANGELES, CA
NPI
1609300508
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1237331116)
Enumeration Date
2017-04-18
Last Update Date
2017-04-18
Business Address
-- LYDIA QUINTANILLS R1237331116
3756 SANTA ROSALIA DR SUITE 617
LOS ANGELES, CA 90008
Phone number: 323-296-1840
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Mailing Address
-- LYDIA QUINTANILLS R1237331116
8414 12 SAN VINCENTE
LOS ANGELES, CA 90250
Phone number: 323-810-3153
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