Individual
PARIS SUPRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RAD-T
Contact information
Practice address
1950 E 17TH ST STE 150, SANTA ANA, CA 92705-6852
(714) 547-5375
Mailing address
1950 E 17TH ST STE 150, SANTA ANA, CA 92705-6852
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
10/13/2022
Last updated
10/13/2022
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