MARC ALBERT DEMATTEO

FAIRFIELD, CA
NPI1578106076
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA  R1364240919)
Enumeration Date2019-10-28
Last Update Date2019-10-28
Business Address
MARC ALBERT DEMATTEO RADT I
1143 MISSOURI ST
FAIRFIELD, CA 94533-6007
Phone number: 707-435-9911
Mailing Address
MARC ALBERT DEMATTEO RADT I
1143 MISSOURI ST
FAIRFIELD, CA 94533-6007
Phone number: 707-435-9911
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