GARY DAIJI HAZAMA

SANTA ANA, CA
NPI1013572692
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  A07400315)
Enumeration Date2019-05-08
Last Update Date2019-05-08
Business Address
GARY DAIJI HAZAMA
1207 E FRUIT ST
SANTA ANA, CA 92701-4206
Phone number: 714-953-9373
Mailing Address
GARY DAIJI HAZAMA
1207 E FRUIT ST
SANTA ANA, CA 92701-4206
Phone number:
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