Individual
ANDRES DURAN III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1207 E FRUIT ST, SANTA ANA, CA 92701-4206
(714) 953-9373
Mailing address
1348 WALL AVE, SAN BERNARDINO, CA 92404-5225
(909) 472-9099
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
13121-R
CA
Other
Enumeration date
07/05/2019
Last updated
07/05/2019
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