DENNIS WAYNE BRIDWELL

SAN DIEGO, CA
NPI1326868902
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  19613)
Enumeration Date2024-10-16
Last Update Date2024-10-16
Business Address
Mr. DENNIS WAYNE BRIDWELL SUDRC
4161 MARLBOROUGH AVE
SAN DIEGO, CA 92105-1412
Phone number: 619-282-7274
Mailing Address
Mr. DENNIS WAYNE BRIDWELL SUDRC
4161 MARLBOROUGH AVE
SAN DIEGO, CA 92105-1412
Phone number: