Individual
MAYRA LANDEROS AGUILAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 POPLAR AVE, MODESTO, CA 95354-0510
(209) 883-2027
Mailing address
986 SUN MEADOW DR, CERES, CA 95307-7379
(209) 485-0225
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
04/12/2016
Last updated
04/12/2016
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