ANTHONY TAHON BASS

SAN LEANDRO, CA
NPI1194385278
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2019-06-19
Last Update Date2019-06-19
Business Address
ANTHONY TAHON BASS
15480 FOOTHILL BLVD
SAN LEANDRO, CA 94578-1009
Phone number: 510-346-7845
Mailing Address
ANTHONY TAHON BASS
15480 FOOTHILL BLVD
SAN LEANDRO, CA 94578-1009
Phone number: 510-346-7845
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