THEODORE E DIZON

SAN DIEGO, CA
NPI1588289466
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  13282-R)
Enumeration Date2020-06-16
Last Update Date2020-06-16
Business Address
THEODORE E DIZON
2980 CEDAR ST
SAN DIEGO, CA 92102-1599
Phone number: 619-239-7370
Mailing Address
THEODORE E DIZON
2980 CEDAR ST
SAN DIEGO, CA 92102-1599
Phone number: 619-239-7370
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