EDGAR FRAIRE MIRANDA

CAMARILLO, CA
NPI1992193890
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2014-12-30
Last Update Date2014-12-30
Business Address
-- EDGAR FRAIRE MIRANDA
1756 S LEWIS RD
CAMARILLO, CA 93012-8520
Phone number: 805-383-3669
Mailing Address
-- EDGAR FRAIRE MIRANDA
1756 S LEWIS RD
CAMARILLO, CA 93012-8520
Phone number: 805-383-3669
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