JUSTIN LOUIS

LAKEPORT, CA
NPI1134900640
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225400000X Rehabilitation Practitioner
Enumeration Date2023-10-10
Last Update Date2023-10-10
Business Address
JUSTIN LOUIS
160 S MAIN ST
LAKEPORT, CA 95453-5017
Phone number: 707-467-2010
Mailing Address
JUSTIN LOUIS
PO BOX 2077
UKIAH, CA 95482-2077
Phone number: