DANIEL EDWARD ILDEFONSO

FRESNO, CA
NPI1407727050
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  22439)
Enumeration Date2025-09-16
Last Update Date2025-09-16
Business Address
-- DANIEL EDWARD ILDEFONSO CADTP 22439
2445 W WHITES BRIDGE AVE
FRESNO, CA 93706-1225
Phone number: 559-264-5096
Mailing Address
-- DANIEL EDWARD ILDEFONSO CADTP 22439
2445 W WHITES BRIDGE AVE
FRESNO, CA 93706-1225
Phone number: 559-264-5096
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