LONNIE ANTHONY AYALA

SACRAMENTO, CA
NPI1578042834
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R1246510317)
Enumeration Date2018-08-08
Last Update Date2018-08-08
Business Address
LONNIE ANTHONY AYALA
1731 P ST
SACRAMENTO, CA 95811-6104
Phone number: 916-706-2007
Mailing Address
LONNIE ANTHONY AYALA
1731 P ST
SACRAMENTO, CA 95811-6104
Phone number: 916-706-2007
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