DAVID LOREN PROCTOR

INDIO, CA
NPI1275284853
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R1264660917)
Enumeration Date2022-01-14
Last Update Date2022-06-02
Business Address
Mr. DAVID LOREN PROCTOR RDAT
44359 PALM ST
INDIO, CA 92201-3116
Phone number: 760-342-6616
Mailing Address
Mr. DAVID LOREN PROCTOR RDAT
78685 ROCKWELL CIR
PALM DESERT, CA 92211-1977
Phone number: 949-370-4047
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