Individual
ANA DUQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1127 S 38TH ST, SAN DIEGO, CA 92113-3210
(619) 262-4002
Mailing address
1355 THIRD AVE, CHULA VISTA, CA 91911-4302
(619) 426-3595
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/22/2019
Last updated
12/22/2021
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