ELEXUS LAYTERION GREENE

FAIRFIELD, CA
NPI1255147310
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R1584231024)
Enumeration Date2024-12-04
Last Update Date2024-12-04
Business Address
ELEXUS LAYTERION GREENE RAD-T
1095 E TABOR AVE APT B
FAIRFIELD, CA 94533-4190
Phone number: 707-718-4872
Mailing Address
ELEXUS LAYTERION GREENE RAD-T
609 JEFFERSON ST STE B
FAIRFIELD, CA 94533-6228
Phone number: 707-718-4872