RICHARD TRAVIESIO

LOS ANGELES, CA
NPI1356467716
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2007-03-21
Last Update Date2007-07-08
Business Address
-- RICHARD TRAVIESIO
5715 S BROADWAY
LOS ANGELES, CA 90037-4131
Phone number: 323-948-0444
Mailing Address
-- RICHARD TRAVIESIO
5715 S BROADWAY
LOS ANGELES, CA 90037-4131
Phone number: 323-948-0444
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