MARCOS ELISEO CHACON VILLANUEVA

COVINA, CA
NPI1194504498
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TH0100X Psychologist, Health Service
(Licence: CA  Cpt-02271594)
Enumeration Date2023-09-26
Last Update Date2023-09-26
Business Address
MARCOS ELISEO CHACON VILLANUEVA
200 E ROWLAND ST # 237
COVINA, CA 91723-3146
Phone number: 323-712-1840
Mailing Address
MARCOS ELISEO CHACON VILLANUEVA
200 E ROWLAND ST # 237
COVINA, CA 91723-3146
Phone number: 323-712-1840