JAY R FONTANILLA PADUA

FRESNO, CA
NPI1568933802
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2018-12-16
Last Update Date2019-09-16
Business Address
JAY R FONTANILLA PADUA
2772 S MARTIN L KING JR BLVD
FRESNO, CA 93706-5345
Phone number: 559-547-5811
Mailing Address
JAY R FONTANILLA PADUA
2772 S MARTIN L KING JR BLVD
FRESNO, CA 93706-5345
Phone number: 559-547-5811
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