JUSTEN DAKOTA LEAGUE

SAN LUIS OBISPO, CA
NPI1245965888
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy167G00000X Licensed Psychiatric Technician
(Licence: CA  41076)
Enumeration Date2022-07-18
Last Update Date2022-07-18
Business Address
JUSTEN DAKOTA LEAGUE LPT
2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401-4535
Phone number: 805-781-4700
Mailing Address
JUSTEN DAKOTA LEAGUE LPT
2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401-4535
Phone number: 805-781-4700