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1649958687
ROSA ESTENIA NIETO
VENICE, CA
NPI
1649958687
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 15493)
Enumeration Date
2023-07-10
Last Update Date
2024-07-05
Business Address
ROSA ESTENIA NIETO SUDRC
503 OCEAN FRONT WALK
VENICE, CA 90291-2403
Phone number: 310-392-3070
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Mailing Address
ROSA ESTENIA NIETO SUDRC
503 OCEAN FRONT WALK
VENICE, CA 90291-2403
Phone number: 310-392-3070
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