Individual
ALICIA PUENTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
318 4TH AVE, CHULA VISTA, CA 91910-3802
(619) 952-6343
Mailing address
318 4TH AVE, CHULA VISTA, CA 91910-3802
(619) 952-6343
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
04/06/2026
Last updated
04/06/2026
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