DORIAN DEMETRIUS DAY

FAIRFIELD, CA
NPI1477316479
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R1531401023)
Enumeration Date2024-02-01
Last Update Date2024-02-01
Business Address
DORIAN DEMETRIUS DAY RAD-T
1525 UNION AVE
FAIRFIELD, CA 94533-5049
Phone number: 707-399-9190
Mailing Address
DORIAN DEMETRIUS DAY RAD-T
609 JEFFERSON ST
FAIRFIELD, CA 94533-6293
Phone number: 707-399-9190