Individual
AURORA MIRANDA PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SUD
Contact information
Practice address
1750 5TH AVE, SAN DIEGO, CA 92101-2754
(619) 515-2588
Mailing address
823 GATEWAY CENTER WAY, SAN DIEGO, CA 92102-4541
(619) 515-2300
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
13003
CA
Other
Enumeration date
03/21/2022
Last updated
03/21/2022
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