MIRIAM AUDELINA MIRANDA LAMADRID

MORENO VALLEY, CA
NPI1629644984
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA  APCC9172)
Enumeration Date2021-05-27
Last Update Date2021-05-27
Business Address
MRS. MIRIAM AUDELINA MIRANDA LAMADRID APCC
12968 FREDERICK ST STE A
MORENO VALLEY, CA 92553-5229
Phone number: 951-242-7738
Mailing Address
MRS. MIRIAM AUDELINA MIRANDA LAMADRID APCC
12536 PENSKE ST
MORENO VALLEY, CA 92553-5207
Phone number: 951-965-0617
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