JOHN MATTTHEW ILONUMMI

STOCKTON, CA
NPI1417593864
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  390017AN)
Enumeration Date2019-11-20
Last Update Date2019-11-20
Business Address
JOHN MATTTHEW ILONUMMI RADT
1222 MONACO CT STE 28
STOCKTON, CA 95207-6742
Phone number: 209-644-6328
Mailing Address
JOHN MATTTHEW ILONUMMI RADT
102 W BIANCHI RD
STOCKTON, CA 95207-7132
Phone number:
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