Individual
ALICIA GIOVANNA TABARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1234 ARCADIA AVE, VISTA, CA 92084-3404
(760) 726-2170
Mailing address
1234 ARCADIA AVE, VISTA, CA 92084-3404
(760) 726-2170
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
—
CA
Other
Enumeration date
09/28/2009
Last updated
12/16/2024
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