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Individual

AUNDREA DELACRUZ-AGUILAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
18700 OXNARD ST, TARZANA, CA 91356-1413
(818) 654-3950
Mailing address
18700 OXNARD ST, TARZANA, CA 91356-1413
(818) 654-3950

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1427043389
CA
Enumeration date
08/20/2020
Last updated
11/27/2023
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