Individual
DEBRA HIDALGO I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
32770 OLD WOMAN SPRINGS RD., LUCERNE VALLEY, CA 92356
(760) 248-6612
(760) 248-3389
Mailing address
PO BOX 1927, BIG BEAR LAKE, CA 92315-1927
(760) 248-6612
(760) 248-3389
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/02/2015
Last updated
02/02/2015
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