ELISCIA DENISE EASILEY

SAN RAFAEL, CA
NPI1427572502
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2017-07-31
Last Update Date2022-07-21
Business Address
ELISCIA DENISE EASILEY
603 D ST
SAN RAFAEL, CA 94901-3719
Phone number: 415-454-9444
Mailing Address
ELISCIA DENISE EASILEY
603 D ST
SAN RAFAEL, CA 94901-3719
Phone number: 415-454-9444
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