Individual
STEPHANIE MARIE AGUIRRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2644 30TH ST, SANTA MONICA, CA 90405-3060
(310) 314-6200
Mailing address
2644 30TH ST STE 100, SANTA MONICA, CA 90405-3051
(310) 314-6200
(310) 450-2024
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
CA
Other
Enumeration date
05/26/2022
Last updated
05/26/2022
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