RUDOLPHO EDUARDO DE LA O

SANTA ROSA, CA
NPI1568695245
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA  D0501021429)
Enumeration Date2009-08-28
Last Update Date2009-08-28
Business Address
RUDOLPHO EDUARDO DE LA O RAS
3315 AIRWAY DRIVE
SANTA ROSA, CA 95403
Phone number: 707-523-2242
Mailing Address
RUDOLPHO EDUARDO DE LA O RAS
3315 AIRWAY DR
SANTA ROSA, CA 95403-2005
Phone number: 707-523-2242
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