Individual
PEARL APODACA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
686 NW 9TH ST, ONTARIO, OR 97914-1600
(541) 889-9167
Mailing address
702 SUNSET DR, ONTARIO, OR 97914-3121
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
09/15/2016
Last updated
09/15/2016
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