HAZEL C LICUDAN

SAN DIEGO, CA
NPI1669605564
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2009-08-26
Last Update Date2009-08-26
Business Address
-- HAZEL C LICUDAN
892 27TH ST
SAN DIEGO, CA 92154-1444
Phone number: 619-549-2412
Mailing Address
-- HAZEL C LICUDAN
5345 TOSCANA WAY APT 519
SAN DIEGO, CA 92122-5315
Phone number: 619-549-2412
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