TATIANA CEPHIA LATIER SPENCER

BURLINGAME, CA
NPI1124892443
Other NameLORELEI CAMILA MAE ROSE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2023-11-07
Last Update Date2023-11-07
Business Address
Miss TATIANA CEPHIA LATIER SPENCER
826 MAHLER RD
BURLINGAME, CA 94010-1604
Phone number: 650-684-7703
Mailing Address
Miss TATIANA CEPHIA LATIER SPENCER
610 ELM ST STE 212
SAN CARLOS, CA 94070-3070
Phone number: 650-684-7703