Individual
ESMERALDA R MANSOOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11957 MIRO CIR, SAN DIEGO, CA 92131-3326
(562) 716-6151
Mailing address
11957 MIRO CIR, SAN DIEGO, CA 92131-3326
(562) 716-6151
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
190146765
CA
103TS0200X
School Psychologist
71905
TX
Other
Enumeration date
08/25/2023
Last updated
08/25/2023
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