MICHAEL J GENTILUOMO

HUNTINGTON BEACH, CA
NPI1225587850
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  6327-R)
Enumeration Date2016-09-23
Last Update Date2016-09-23
Business Address
-- MICHAEL J GENTILUOMO
18090 BEACH BLVD 5&6
HUNTINGTON BEACH, CA 92648-1327
Phone number: 714-841-3863
Mailing Address
-- MICHAEL J GENTILUOMO
19923 CHRISTINA CIR
CERRITOS, CA 90703-7849
Phone number: