MICHAEL FREDERICK PANGBORN

VISTA, CA
NPI1528868346
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2025-03-19
Last Update Date2025-03-19
Business Address
MICHAEL FREDERICK PANGBORN
1211 W VISTA WAY BLDG C
VISTA, CA 92083-6227
Phone number: 760-721-2781
Mailing Address
MICHAEL FREDERICK PANGBORN
1400 N JOHNSON AVE STE 101
EL CAJON, CA 92020-1651
Phone number: