DELMAR DANA TILLIS

SAN RAFAEL, CA
NPI1144784984
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date2019-01-25
Last Update Date2019-01-25
Business Address
DELMAR DANA TILLIS
603 D ST
SAN RAFAEL, CA 94901-3719
Phone number: 415-454-9444
Mailing Address
DELMAR DANA TILLIS
2475 RAWSON ST
OAKLAND, CA 94601-5523
Phone number: 832-732-7626
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