JASON CHARLES BONDERER

PLACERVILLE, CA
NPI1164157798
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R1474650722)
Enumeration Date2022-07-18
Last Update Date2022-07-18
Business Address
JASON CHARLES BONDERER RADT-1
2844 COLOMA ST
PLACERVILLE, CA 95667-4406
Phone number: 530-626-6290
Mailing Address
JASON CHARLES BONDERER RADT-1
2844 COLOMA ST
PLACERVILLE, CA 95667-4406
Phone number: 530-626-6290
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