Individual
GLORIA IVETTE TERAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3550 CAMINO DEL RIO N STE 104, SAN DIEGO, CA 92108-1738
(760) 668-1311
Mailing address
301 W VERMONT AVE APT 521, ESCONDIDO, CA 92025-6560
(760) 668-1311
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/01/2018
Last updated
08/01/2018
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