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29995 Technology Dr Ste 103 Murrieta CA 92563-2633 | |
| (951) 384-1661 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 29995 Technology Dr Ste 103, Murrieta, California |
| Authorized Official Name and Position | Kateline Medina (CEO/CFO) |
| Authorized Official Contact | 9518366727 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 53573 Riverside CA 92517-4573 Ph: () - | 29995 Technology Dr Ste 103 Murrieta CA 92563-2633 Ph: (951) 384-1661 |
| NPI Number | 1851143879 |
|---|---|
| Provider Enumeration Date | 04/03/2024 |
| Last Update Date | 11/27/2024 |
| Certification Date | 11/27/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851143879 | NPI | - | NPPES |
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