DIVINA CAPOTE

SAN PEDRO, CA
NPI1982363446
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R1452461221)
Enumeration Date2021-12-13
Last Update Date2021-12-13
Business Address
DIVINA CAPOTE
505 S PACIFIC AVE
SAN PEDRO, CA 90731-2656
Phone number: 310-519-8723
Mailing Address
DIVINA CAPOTE
PO BOX 2743
SAN PEDRO, CA 90731-0182
Phone number: 310-519-8723