MICHAEL JAMES LATORRACA

LODI, CA
NPI1205305968
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2018-11-24
Last Update Date2021-01-12
Business Address
MICHAEL JAMES LATORRACA
541 S HAM LN STE A&B
LODI, CA 95242-3530
Phone number: 224-894-0209
Mailing Address
MICHAEL JAMES LATORRACA
541 S HAM LN STE A&B
LODI, CA 95242-3530
Phone number: 209-224-8940
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