Individual
ABEL ANTONIO FRIAS DE LA ROSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11650 IBERIA PL STE 130, SAN DIEGO, CA 92128-2431
(858) 264-5858
Mailing address
1553 ORO VISTA RD APT 5, SAN DIEGO, CA 92154-4084
(619) 547-3070
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
CA
Other
Enumeration date
05/09/2022
Last updated
05/09/2022
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