ISMAEL VIDRIO

LA MIRADA, CA
NPI1730910696
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  18885)
Enumeration Date2024-08-12
Last Update Date2024-08-12
Business Address
ISMAEL VIDRIO SUDRC #18885
13106 WOODRIDGE AVE
LA MIRADA, CA 90638-1755
Phone number: 562-455-5251
Mailing Address
ISMAEL VIDRIO SUDRC #18885
13106 WOODRIDGE AVE
LA MIRADA, CA 90638-1755
Phone number: 562-455-5251
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