YSIDRO NIETO

GLENDALE, CA
NPI1184801698
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2008-01-28
Last Update Date2008-01-28
Business Address
Mr. YSIDRO NIETO
4628 SAN FERNANDO RD
GLENDALE, CA 91204-1822
Phone number: 818-240-8843
Mailing Address
Mr. YSIDRO NIETO
4628 SAN FERNANDO RD
GLENDALE, CA 91204-1822
Phone number: 818-240-8843
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