STANISLAV TROFIMOV

VAN NUYS, CA
NPI1447597919
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2013-01-03
Last Update Date2013-01-03
Business Address
-- STANISLAV TROFIMOV
15015 OXNARD ST
VAN NUYS, CA 91411-2613
Phone number: 818-787-4151
Mailing Address
-- STANISLAV TROFIMOV
15015 OXNARD ST
VAN NUYS, CA 91411-2613
Phone number: 818-787-4151