GWENDA LYNN BLUM

IMPERIAL BEACH, CA
NPI1770792335
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2007-05-21
Last Update Date2007-07-08
Business Address
-- GWENDA LYNN BLUM
620 13TH ST APT A
IMPERIAL BEACH, CA 91932-1722
Phone number: 619-628-4869
Mailing Address
-- GWENDA LYNN BLUM
620 13TH ST APT A
IMPERIAL BEACH, CA 91932-1722
Phone number: 619-628-4869