DANA MONIQUE OTIS

ANTIOCH, CA
NPI1053451740
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  03-037293)
Enumeration Date2007-02-08
Last Update Date2007-07-08
Business Address
Ms. DANA MONIQUE OTIS caarr
3707 SUNSET LN
ANTIOCH, CA 94509-6101
Phone number: 925-522-0124
Mailing Address
Ms. DANA MONIQUE OTIS caarr
3707 SUNSET LN
ANTIOCH, CA 94509-6101
Phone number: 925-522-0124