Individual
ANNA RECENDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
23701 E EAST FORK RD, AZUSA, CA 91702-1477
(626) 910-1202
Mailing address
23701 E EAST FORK RD, AZUSA, CA 91702-1477
(626) 910-1202
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/08/2009
Last updated
04/08/2009
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