JORGE VACA

PANORAMA CITY, CA
NPI1265999304
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2019-02-25
Last Update Date2019-02-25
Business Address
JORGE VACA
9140 VAN NUYS BLVD
PANORAMA CITY, CA 91402-6727
Phone number: 818-895-2006
Mailing Address
JORGE VACA
9140 VAN NUYS BLVD
PANORAMA CITY, CA 91402-6727
Phone number: 818-895-2206