Evedarda Melissa Vizcarra
NPI #1093935579 in San Bruno, California
Provider Information
- NPI Number
- 1093935579
- Entity Type
- Individual
- Name
- Evedarda Melissa Vizcarra
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Apr 26, 2007
- Last Updated
- Jul 9, 2015
Practice Location
- Address
- 841 SAN BRUNO AVE W RM 1
- City
- San Bruno
- State
- California
- ZIP Code
- 94066-3437
- Phone
- (415) 375-7629
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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