Individual
MS. CONSUELO BECERRIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
1615 FRENCH ST STE 102, SANTA ANA, CA 92701-2475
(714) 824-8150
(714) 824-8151
Mailing address
266 CORONADO DR, CORONA, CA 92879-2809
(951) 371-0230
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
OTA 1490
CA
Other
Enumeration date
08/22/2007
Last updated
08/22/2007
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