ELLAINE PERALTA

SAN PEDRO, CA
NPI1841054806
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R1545970124)
Enumeration Date2024-02-09
Last Update Date2024-02-09
Business Address
ELLAINE PERALTA
505 S PACIFIC AVE
SAN PEDRO, CA 90731-2656
Phone number: 310-519-8723
Mailing Address
ELLAINE PERALTA
13302 SISKIYOU ST
WESTMINSTER, CA 92683-2114
Phone number: 424-334-9357