Individual
ANGELA KIM QUIDOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1889 W REDLANDS BLVD BLDG 9, REDLANDS, CA 92373-3119
(909) 501-5167
Mailing address
1889 W REDLANDS BLVD BLDG 9, REDLANDS, CA 92373-3119
(909) 501-5167
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
AII063440123
CA
Other
Enumeration date
03/22/2019
Last updated
10/21/2024
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