DEREK ANTHONY TYWONIUK

WEST HOLLYWOOD, CA
NPI1144893611
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2021-07-21
Last Update Date2021-07-22
Business Address
DEREK ANTHONY TYWONIUK RADT
8739 SANTA MONICA BLVD
WEST HOLLYWOOD, CA 90069-4507
Phone number: 310-623-1477
Mailing Address
DEREK ANTHONY TYWONIUK RADT
8739 SANTA MONICA BLVD
WEST HOLLYWOOD, CA 90069-4507
Phone number: 310-623-1477
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