DOMANICK RANDOLPH

NORTH HOLLYWOOD, CA
NPI1437864725
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2023-01-20
Last Update Date2023-01-20
Business Address
DOMANICK RANDOLPH
11027 BURBANK BLVD
NORTH HOLLYWOOD, CA 91601-2431
Phone number: 818-985-8323
Mailing Address
DOMANICK RANDOLPH
11027 BURBANK BLVD
NORTH HOLLYWOOD, CA 91601-2431
Phone number: 818-985-8323
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