Luisito Gonzales Subido M.A.

NPI 1144437971 - Marriage & Family Therapist - 106H00000X

NPI Details
NPI 1144437971
Gender Male
Enumeration Date 05/17/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
3020 CHILDRENS WAY
SAN DIEGO CA, 92123-4223, US
Phone (858) 966-4011
Fax (858) 278-2365
Business Location
4534 GEORGIA ST APT 1
SAN DIEGO CA, 92116-2640, US
Phone (619) 708-0312
Fax
Toxanomy
Taxonomy Code 106H00000X
License State California
License Number IMF 46594
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According to our database, Mr. Luisito Gonzales Subido M.A. NPI is 1144437971, taxonomy code is 106H00000X and license number is IMF 46594, license state is located at California. Luisito Gonzales Subido M.A. physically located at 3020 Childrens Way, San Diego CA, 92123-4223. NPI Number Luisito Gonzales Subido M.A. has the Individual type.

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1144437971 NPI number is provided on an as is basis without warranty of any kind. 1144437971 is maintained by the National Plan & Provider Enumeration System. The contents of Luisito Gonzales Subido M.A. are for informational purposes only.