DANIEL GARY WANTA

OCEANSIDE, CA
NPI1073763199
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2008-09-25
Last Update Date2008-09-25
Business Address
Mr. DANIEL GARY WANTA
4010 VIA SERRA
OCEANSIDE, CA 92057-6445
Phone number: 760-757-7166
Mailing Address
Mr. DANIEL GARY WANTA
4010 VIA SERRA
OCEANSIDE, CA 92057-6445
Phone number: 760-757-7166
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