DESMOND KENNETH MERAZ

UPLAND, CA
NPI1518210632
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  A044260517)
Enumeration Date2012-10-26
Last Update Date2024-03-25
Business Address
DESMOND KENNETH MERAZ CADC-II
934 N MOUNTAIN AVE
UPLAND, CA 91786-3659
Phone number: 909-949-4667
Mailing Address
DESMOND KENNETH MERAZ CADC-II
934 N MOUNTAIN AVE STE A-D
UPLAND, CA 91786-3659
Phone number: 909-949-4667