MICHAEL JERRY BAPTIST

TARZANA, CA
NPI1134707615
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date2021-03-29
Last Update Date2021-03-29
Business Address
MICHAEL JERRY BAPTIST
18646 OXNARD ST
TARZANA, CA 91356-1486
Phone number: 818-996-1051
Mailing Address
MICHAEL JERRY BAPTIST
18646 OXNARD ST
TARZANA, CA 91356-1411
Phone number: 818-996-1051
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