ENA IVETT MEJIA VIDRIO

SANTA CRUZ, CA
NPI1639874589
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  16408-RAC)
Enumeration Date2023-03-31
Last Update Date2023-03-31
Business Address
ENA IVETT MEJIA VIDRIO
707 FAIR AVE
SANTA CRUZ, CA 95060-5828
Phone number: 831-427-1007
Mailing Address
ENA IVETT MEJIA VIDRIO
707 FAIR AVE
SANTA CRUZ, CA 95060-5828
Phone number: 831-427-1007
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