ERIC JESSE DEANDA

COLTON, CA
NPI1487928719
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor Mental Health
Enumeration Date2012-03-05
Last Update Date2012-03-05
Business Address
MR. ERIC JESSE DEANDA B.A.
790 VIA LATA STE 300
COLTON, CA 92324-3978
Phone number: 909-433-0445
Mailing Address
MR. ERIC JESSE DEANDA B.A.
790 VIA LATA STE 300
COLTON, CA 92324-3978
Phone number: 909-433-0445