Individual
ANGELA GUADALUPE POLIDO SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1255 KENDALL RD, SAN LUIS OBISPO, CA 93401-8750
(805) 781-3535
Mailing address
1255 KENDALL RD, SAN LUIS OBISPO, CA 93401-8750
(805) 781-3535
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
CA
Other
Enumeration date
04/19/2018
Last updated
04/19/2018
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