MARTELL TRAVONE BYRD

FAIRFIELD, CA
NPI1376391995
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R1550910224)
Enumeration Date2024-05-08
Last Update Date2024-05-08
Business Address
MARTELL TRAVONE BYRD
623 GREAT JONES ST
FAIRFIELD, CA 94533-6005
Phone number: 707-664-7798
Mailing Address
MARTELL TRAVONE BYRD
623 GREAT JONES ST
FAIRFIELD, CA 94533-6005
Phone number: 707-664-7798
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