VIRGIL WAYNE WHITE

LEMON GROVE, CA
NPI1558057604
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2023-04-12
Last Update Date2023-04-12
Business Address
VIRGIL WAYNE WHITE
2049 SKYLINE DR
LEMON GROVE, CA 91945-4221
Phone number: 619-930-0471
Mailing Address
VIRGIL WAYNE WHITE
1400 N JOHNSON AVE STE 101
EL CAJON, CA 92020-1651
Phone number:
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