Individual
ADRIANA EZERNACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1800 MAXWELL RD, CHULA VISTA, CA 91911-6158
(833) 503-5910
Mailing address
1800 MAXWELL RD, CHULA VISTA, CA 91911-6158
(858) 294-9714
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
ASW112126
CA
Other
Enumeration date
09/15/2023
Last updated
07/18/2024
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