Doctor Name: | MRS. ZORAIDA A. OQUENDO |
NPI Number: | 1043516206 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 178001659 |
Business Practice Address: | 573 South Loop 3rd St Fort Irwin, CA - 92310 |
Business Phone Number: | 7603804042 |
Business Fax Number: | 7603804042 |
Mailing Address: | 1401 El Norte Pkwy Spc 218, SAN MARCOS |
State: | CA |
Postal Code: | 920692256 |
Phone Number: | 7604294083 |
Fax Number: | 7603804042 |
NPI Enumeration Date: | 02/07/2011 |
NPI Last Update Date: | 02/07/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 178001659 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |