ALEX ERNESTO CHAIDEZ

PALMDALE, CA
NPI1487398020
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date2022-04-20
Last Update Date2022-04-20
Business Address
ALEX ERNESTO CHAIDEZ
4147 BOLTON AVE
PALMDALE, CA 93552-2407
Phone number: 661-236-1557
Mailing Address
ALEX ERNESTO CHAIDEZ
4147 BOLTON AVE
PALMDALE, CA 93552-2407
Phone number: 661-236-1557
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