Individual
ALVIN BUADA CUSTODIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1801 VICENTE ST, SAN FRANCISCO, CA 94116-2923
(415) 681-3211
Mailing address
328 N SAN MATEO DR STE C, SAN MATEO, CA 94401-2514
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
101319
CA
106H00000X
Marriage & Family Therapist
76768
CA
Other
Enumeration date
03/30/2010
Last updated
02/13/2018
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