SAN JUANA SAN RODRIGUEZ

STORM LAKE, IA
NPI1952433153
Former NameJUANA SAN RAMIREZ
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IA  t24011)
Additional Taxonomies171M00000X Case Manager/Care Coordinator
Enumeration Date2007-03-12
Last Update Date2024-06-18
Business Address
Mrs. SAN JUANA SAN RODRIGUEZ
1824 FLINT DRIVE SUITE 104
STORM LAKE, IA 50558
Phone number: 712-262-2922
Mailing Address
Mrs. SAN JUANA SAN RODRIGUEZ
PO BOX 177
AURELIA, IA 51005-0177
Phone number: 712-299-2182