JERIMIAH PAXTON SNYDER

HAWTHORNE, CA
NPI1083966402
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2012-10-09
Last Update Date2012-10-09
Business Address
Mr. JERIMIAH PAXTON SNYDER
11973 MANOR DRIVE
HAWTHORNE, CA 90250
Phone number: 661-674-0919
Mailing Address
Mr. JERIMIAH PAXTON SNYDER
11973 MANOR DR
HAWTHORNE, CA 90250-2914
Phone number: 661-674-0919