| Ok 2b Angry | |
|
139 E 3rd Ave Ste 104 Escondido CA 92025-4246 | |
| (760) 896-4357 | |
| Not Available |
| Full Name | Ok 2b Angry |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 139 E 3rd Ave Ste 104, Escondido, California |
| Authorized Official Name and Position | Servando Trevino (OWNER) |
| Authorized Official Contact | 7606383095 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ok 2b Angry 139 E 3rd Ave Ste 104 Escondido CA 92025-4246 Ph: (760) 896-4357 | Ok 2b Angry 139 E 3rd Ave Ste 104 Escondido CA 92025-4246 Ph: (760) 896-4357 |
| NPI Number | 1497305411 |
|---|---|
| Provider Enumeration Date | 09/12/2019 |
| Last Update Date | 09/12/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497305411 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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