Individual
DAISY VIDRIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9685 HAYES STREET, RIVERSIDE, CA 92503-9250
(951) 351-4418
Mailing address
9685 HAYES STREET, RIVERSIDE, CA 92503-2049
(951) 351-4418
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
8631
CA
Other
Enumeration date
06/08/2021
Last updated
12/01/2022
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