ANTWAN ROOSEVELT HARTON

FRENCH CAMP, CA
NPI1346721701
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2018-08-23
Last Update Date2018-08-23
Business Address
ANTWAN ROOSEVELT HARTON
500 W HOSPITAL RD
FRENCH CAMP, CA 95231-9693
Phone number: 209-468-6857
Mailing Address
ANTWAN ROOSEVELT HARTON
500 W HOSPITAL RD
FRENCH CAMP, CA 95231-9693
Phone number: 209-468-6857
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