ANDRES DE JESUS MAYORGA

GARDEN GROVE, CA
NPI1104657535
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA  R1562110524)
Enumeration Date2024-08-08
Last Update Date2024-08-08
Business Address
ANDRES DE JESUS MAYORGA RADT
13222 CHAPMAN AVE
GARDEN GROVE, CA 92840-4414
Phone number: 714-683-7566
Mailing Address
ANDRES DE JESUS MAYORGA RADT
13222 CHAPMAN AVE
GARDEN GROVE, CA 92840-4414
Phone number:
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