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Individual
MS. MINERVA MINNIE MIJANGOS
Active
Individual
MS. MINERVA MINNIE MIJANGOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AA
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
B5599592
CA
171M00000X
Case Manager/Care Coordinator
Primary
—
—
171R00000X
Interpreter
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B5599592
DRIVER'S LICENSE
CA
Enumeration date
08/02/2011
Last updated
10/10/2011
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