LUIS ANTONIO MALDONADO

MODESTO, CA
NPI1356635791
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2011-06-02
Last Update Date2011-06-02
Business Address
Mr. LUIS ANTONIO MALDONADO
916 MCHENRY AVE
MODESTO, CA 95350-5417
Phone number: 209-550-5850
Mailing Address
Mr. LUIS ANTONIO MALDONADO
2837 E. ORANGEBURG
MODESTO, CA 95355
Phone number: 209-602-8910
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