NATHAN SHIELDS

SAN DIEGO, CA
NPI1477211803
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date2021-12-02
Last Update Date2021-12-02
Business Address
NATHAN SHIELDS RADT
2516 A ST
SAN DIEGO, CA 92102-2111
Phone number: 619-235-0592
Mailing Address
NATHAN SHIELDS RADT
2516 A ST
SAN DIEGO, CA 92102-2111
Phone number:
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