OCTAVIO JESUS BARAJAS

SAN RAFAEL, CA
NPI1427746783
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2023-04-25
Last Update Date2023-04-25
Business Address
OCTAVIO JESUS BARAJAS
301 CANAL ST
SAN RAFAEL, CA 94901-4114
Phone number: 415-769-8692
Mailing Address
OCTAVIO JESUS BARAJAS
301 CANAL ST
SAN RAFAEL, CA 94901-4114
Phone number: 415-769-8692
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