FREDERIC LASTAR

VIEW PARK, CA
NPI1407542376
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  133373)
Enumeration Date2023-04-13
Last Update Date2023-04-19
Business Address
FREDERIC LASTAR
4144 KENWAY AVE
VIEW PARK, CA 90008-4810
Phone number: 888-557-7217
Mailing Address
FREDERIC LASTAR
4144 KENWAY AVE
VIEW PARK, CA 90008-4810
Phone number: 888-557-7217
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