Individual
AUDIE ESTRADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9540 CENTER AVE, RANCHO CUCAMONGA, CA 91730-5840
(909) 980-2789
(909) 980-2689
Mailing address
9540 CENTER AVE, RANCHO CUCAMONGA, CA 91730-5840
(909) 980-2789
(909) 980-2689
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/01/2008
Last updated
01/14/2013
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