EDVINO DE JESUS TEYUCA

COVINA, CA
NPI1053200600
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date2025-06-30
Last Update Date2025-06-30
Business Address
EDVINO DE JESUS TEYUCA
536 S 2ND AVE STE D
COVINA, CA 91723-3043
Phone number: 213-864-1718
Mailing Address
EDVINO DE JESUS TEYUCA
1936 CYPRESS AVE APT 8
LOS ANGELES, CA 90065-1360
Phone number: 213-864-1718