JIWON BACK

FULLERTON, CA
NPI1750772257
Other NameDAISY BACK
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  93786)
Enumeration Date2015-02-05
Last Update Date2023-01-23
Business Address
JIWON BACK
112 E AMERIGE AVE STE 209
FULLERTON, CA 92832-1920
Phone number: 714-253-4506
Mailing Address
JIWON BACK
112 E AMERIGE AVE STE 209
FULLERTON, CA 92832-1920
Phone number: 714-253-4506