JUAN GRULLON

ROXBURY, MA
NPI1104320357
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2018-03-22
Last Update Date2018-03-22
Business Address
JUAN GRULLON
302 EUSTIS ST
ROXBURY, MA 02119-3800
Phone number: 617-445-1123
Mailing Address
JUAN GRULLON
302 EUSTIS ST
ROXBURY, MA 02119-3800
Phone number: 617-445-1123
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