JUAN CARLO KOONTZ

RIVERSIDE, CA
NPI1134823487
Former NameJUAN CARLO PANTOJA
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy175T00000X Peer Specialist
(Licence: CA  MPSS-WNVUHS)
Enumeration Date2023-03-29
Last Update Date2023-07-05
Business Address
JUAN CARLO KOONTZ
2085 RUSTIN AVE UNIT 2
RIVERSIDE, CA 92507-2498
Phone number: 951-955-2501
Mailing Address
JUAN CARLO KOONTZ
200 E ALESSANDRO BLVD UNIT 44
RIVERSIDE, CA 92508-6170
Phone number: 951-419-1814
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