TEBEI LORENZO MELAITAU

CANOGA PARK, CA
NPI1023583515
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  A033480616)
Enumeration Date2018-10-10
Last Update Date2018-10-11
Business Address
TEBEI LORENZO MELAITAU
7636 OWENSMOUTH AVE APT 20
CANOGA PARK, CA 91304-4810
Phone number: 626-213-9965
Mailing Address
TEBEI LORENZO MELAITAU
1100 N STATE ST
LOS ANGELES, CA 90033-5000
Phone number: 323-409-4314
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