JERRY CHAN

SAN BERNARDINO, CA
NPI1013796069
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  A020971015)
Enumeration Date2023-09-27
Last Update Date2023-09-27
Business Address
JERRY CHAN
1149 N D ST
SAN BERNARDINO, CA 92410-3523
Phone number: 909-884-0840
Mailing Address
JERRY CHAN
1100 N D ST
SAN BERNARDINO, CA 92410-3524
Phone number: 909-381-3774
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