Individual
FIDES JESSICA QUIAMBAO APUSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
662 ENCINITAS BLVD STE 208, ENCINITAS, CA 92024-6789
(760) 634-1125
Mailing address
3530 E LA PALMA AVE APT 258, ANAHEIM, CA 92806-2152
(626) 383-8446
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
CA
Other
Enumeration date
07/31/2018
Last updated
07/31/2018
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