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Individual

ANGELINA FRAUSTO AVILA-PANDEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MFT

Contact information

Practice address
15951 LOS GATOS BLVD, SUITE 12, LOS GATOS, CA 95032-3488
(408) 358-9396
(408) 358-3711
Mailing address
PO BOX 20071, SAN JOSE, CA 95160-0071

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFC39606
CA

Other

Enumeration date
05/01/2008
Last updated
05/19/2008
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