MISS IVY DIOSA

Counselor

Active Individual
NPI: 1497088413

Practice Address

704 W 8TH ST
San Pedro, CA 90731

Phone: (310) 832-7545

Specialties

Specialty Code Primary License
Counselor 101Y00000X Yes -

Frequently Asked Questions

NPI 1497088413 is the National Provider Identifier for MISS IVY DIOSA, a Counselor provider located in San Pedro, CA. This NPI was enumerated on September 9, 2009.
MISS IVY DIOSA practices at 704 W 8TH ST, San Pedro, CA 90731.

Quick Facts

NPI
1497088413
Type
Individual
Enumerated
Sep 9, 2009
Last Updated
Sep 9, 2009

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