MARK SAMEH MIKHAIL

SAN DIEGO, CA
NPI1073249918
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date2022-07-25
Last Update Date2022-07-25
Business Address
MARK SAMEH MIKHAIL RADT
3145 IMPERIAL AVE
SAN DIEGO, CA 92102-4319
Phone number: 909-296-2508
Mailing Address
MARK SAMEH MIKHAIL RADT
3145 IMPERIAL AVE
SAN DIEGO, CA 92102-4319
Phone number: 909-296-2508
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