DANTENELLO LEONEL VELASQUEZ

FOWLER, CA
NPI1255891909
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  SUDRC18720)
Enumeration Date2019-03-20
Last Update Date2024-07-26
Business Address
DANTENELLO LEONEL VELASQUEZ
311 E MERCED ST
FOWLER, CA 93625-2316
Phone number: 559-892-9452
Mailing Address
DANTENELLO LEONEL VELASQUEZ
311 E MERCED ST
FOWLER, CA 93625-2316
Phone number: 559-892-9452