GENESIS MALLARI LORICA

LONG BEACH, CA
NPI1194066449
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2013-03-12
Last Update Date2013-03-12
Business Address
Mr. GENESIS MALLARI LORICA
2703 E 7TH ST
LONG BEACH, CA 90804-4708
Phone number: 562-433-0454
Mailing Address
Mr. GENESIS MALLARI LORICA
2703 E 7TH ST
LONG BEACH, CA 90804-4708
Phone number: 562-433-0454
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