SHANE GOLDBACH

PERRIS, CA
NPI1053506832
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  58714)
Enumeration Date2007-09-13
Last Update Date2010-12-21
Business Address
SHANE GOLDBACH
555 N PERRIS BLVD BUILDING A
PERRIS, CA 92571-2811
Phone number: 951-436-5300
Mailing Address
SHANE GOLDBACH
555 N PERRIS BLVD BUILDING A
PERRIS, CA 92571-2811
Phone number: 951-436-5300
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