CONRAD SAMUEL SUKA JENNINGS

LOS ANGELES, CA
NPI1073485660
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2025-09-22
Last Update Date2025-09-22
Business Address
Mr. CONRAD SAMUEL SUKA JENNINGS
6838 W SUNSET BLVD
LOS ANGELES, CA 90028-7008
Phone number: 323-461-3161
Mailing Address
Mr. CONRAD SAMUEL SUKA JENNINGS
716 E NUTWOOD ST
INGLEWOOD, CA 90301-2816
Phone number: 424-331-8386