Individual
ERRICKA DE LA MANCHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1664 BROADWAY, EL CAJON, CA 92021-5201
(619) 579-8685
(619) 579-1969
Mailing address
1664 BROADWAY, SAN DIEGO, CA 92021-9202
(619) 579-8685
(619) 579-1969
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
—
—
225400000X
Rehabilitation Practitioner
Primary
—
CA
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
04/07/2022
Last updated
04/23/2025
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