STANISLAV MODIN

LOS ANGELES, CA
NPI1093985384
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2008-03-03
Last Update Date2008-03-03
Business Address
Mr. STANISLAV MODIN
1318 N ORANGE DR APT 303
LOS ANGELES, CA 90028-7571
Phone number: 323-962-4493
Mailing Address
Mr. STANISLAV MODIN
1318 N ORANGE DR APT 303
LOS ANGELES, CA 90028-7571
Phone number: 323-962-4493
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