Individual
ANGELINA EUGENIA AISPURO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RAD-T
Contact information
Practice address
1400 N JOHNSON AVE STE 101, EL CAJON, CA 92020-1651
(760) 687-5389
Mailing address
1400 N JOHNSON AVE STE 101, EL CAJON, CA 92020-1651
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
R1360660819
CA
Other
Enumeration date
08/17/2021
Last updated
08/17/2021
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