BRIAN EUGENE PETETAN

LOS ANGELES, CA
NPI1073955696
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2013-07-24
Last Update Date2013-07-24
Business Address
-- BRIAN EUGENE PETETAN
3210 W JEFFERSON BLVD
LOS ANGELES, CA 90018-3230
Phone number: 626-533-2647
Mailing Address
-- BRIAN EUGENE PETETAN
3210 W JEFFERSON BLVD
LOS ANGELES, CA 90018-3230
Phone number: 626-533-2647
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