TAI LAI

SAN JOSE, CA
NPI1114347887
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2014-04-22
Last Update Date2014-04-22
Business Address
-- TAI LAI
102 SOUTH 11 STREET
SAN JOSE, CA 95112
Phone number: 408-998-5191
Mailing Address
-- TAI LAI
102 SOUTH 11 STREET
SAN JOSE, CA 95112
Phone number: 408-998-5191
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