CALEB FANEN ICHULL-INGYA

SAN DIEGO, CA
NPI1023762804
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies175T00000X Peer Specialist
Enumeration Date2022-02-09
Last Update Date2023-03-27
Business Address
CALEB FANEN ICHULL-INGYA
8775 AERO DR STE 132
SAN DIEGO, CA 92123-1779
Phone number: 858-609-8742
Mailing Address
CALEB FANEN ICHULL-INGYA
8775 AERO DR STE 132
SAN DIEGO, CA 92123-1779
Phone number: 562-414-9764
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