JORGE LUIS VIDARTE

SAN CARLOS, CA
NPI1619644234
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2021-08-23
Last Update Date2021-08-23
Business Address
Mrs. JORGE LUIS VIDARTE
772 WALNUT ST APT 3
SAN CARLOS, CA 94070-3144
Phone number: 650-554-0856
Mailing Address
Mrs. JORGE LUIS VIDARTE
772 WALNUT ST APT 3
SAN CARLOS, CA 94070-3144
Phone number: 650-554-0856
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