Individual
ANGELICA REGINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 W FOSTER RD, SANTA MARIA, CA 93455-3620
(805) 934-6334
Mailing address
500 W FOSTER RD, SANTA MARIA, CA 93455-3620
(805) 934-6334
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/24/2011
Last updated
05/25/2011
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