MASSIE ANDRE AVANT

BANNING, CA
NPI1174833818
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy174H00000X Health Educator
(Licence: CA  RS6036)
Enumeration Date2010-10-15
Last Update Date2010-10-15
Business Address
Mr. MASSIE ANDRE AVANT rs
245 N. MURRAY ST
BANNING, CA 92220
Phone number: 951-849-8812
Mailing Address
Mr. MASSIE ANDRE AVANT rs
245 N. MURRAY ST
BANNING, CA 92220
Phone number: 951-849-8812