Johanna Paula Custodio
NPI #1265244248 in Azusa, California
Provider Information
- NPI Number
- 1265244248
- Entity Type
- Individual
- Name
- Johanna Paula Custodio
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- Jan 24, 2025
- Last Updated
- Mar 9, 2025
Practice Location
- Address
- 313 N FENIMORE AVE
- City
- Azusa
- State
- California
- ZIP Code
- 91702-3924
- Phone
- (714) 696-1295
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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