RONNIE ISLAM

COMPTON, CA
NPI1528400462
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA  RI-I1207061659)
Enumeration Date2013-07-19
Last Update Date2013-07-19
Business Address
RONNIE ISLAM
3209 N ALAMEDA ST STE C
COMPTON, CA 90222-1454
Phone number: 310-537-2273
Mailing Address
RONNIE ISLAM
3209 N ALAMEDA ST STE C
COMPTON, CA 90222-1454
Phone number: 310-537-2273
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