DESHAY GAINES

STOCKTON, CA
NPI1578818761
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2012-07-13
Last Update Date2012-07-13
Business Address
-- DESHAY GAINES
503 S PERSHING AVE
STOCKTON, CA 95203-3236
Phone number: 209-810-5864
Mailing Address
-- DESHAY GAINES
503 S PERSHING AVE
STOCKTON, CA 95203-3236
Phone number: 209-810-5864
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