| Johanna Paula Custodio, | |
|
313 N Fenimore Ave, Azusa, CA 91702-3924 | |
| (714) 696-1295 | |
| Not Available |
| Full Name | Johanna Paula Custodio |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 313 N Fenimore Ave, Azusa, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265244248 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 17989 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Johanna Paula Custodio, 313 N Fenimore Ave, Azusa, CA 91702-3924 Ph: (714) 696-1295 | Johanna Paula Custodio, 313 N Fenimore Ave, Azusa, CA 91702-3924 Ph: (714) 696-1295 |
Mrs. Grace Elizabeth Moorefield, MSN, ARN, BC Counselor Medicare: Not Enrolled in Medicare Practice Location: 701 East Foothill Boulevard, Azusa, CA 91702 Phone: 626-253-2818 Fax: 626-606-0234 | |
Ms. Lynette Kathleen Singleton, CADACII Counselor Medicare: Not Enrolled in Medicare Practice Location: 23701 E East Fork Rd, Azusa, CA 91702 Phone: 626-250-3290 Fax: 626-910-1380 | |
Angelica Correa, Counselor Medicare: Not Enrolled in Medicare Practice Location: Po Box 354, Azusa, CA 91702 Phone: 323-207-0737 | |
Andy Rodriguez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 23701 E East Fork Rd, Azusa, CA 91702 Phone: 626-250-3291 | |
Robert A Pardon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 23701 E East Fork Rd, Azusa, CA 91702 Phone: 626-910-1202 | |
Stephan J Zaragoza, Counselor Medicare: Not Enrolled in Medicare Practice Location: 474 S Citrus Ave, Azusa, CA 91702 Phone: 626-858-9500 | |
Nora Guzman Cepeda, Counselor Medicare: Not Enrolled in Medicare Practice Location: 474 S Citrus Ave, Azusa, CA 91702 Phone: 626-858-9500 |