JOSE ANTONIO OCHOA

GRANDVIEW, WA
NPI1295317287
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  CO61155458)
Enumeration Date2021-04-28
Last Update Date2021-04-28
Business Address
JOSE ANTONIO OCHOA SUDPT
106 N ELM ST
GRANDVIEW, WA 98930-1009
Phone number: 509-402-9090
Mailing Address
JOSE ANTONIO OCHOA SUDPT
PO BOX 748
GRANDVIEW, WA 98930-0748
Phone number: 509-402-9090
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