ERICK MATIENZO

STOCKTON, CA
NPI1114481744
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2019-01-28
Last Update Date2019-01-28
Business Address
Mr. ERICK MATIENZO
2495 W MARCH LN STE 125
STOCKTON, CA 95207-8224
Phone number: 209-320-7633
Mailing Address
Mr. ERICK MATIENZO
2495 W MARCH LN STE 125
STOCKTON, CA 95207-8224
Phone number: 209-320-7633