JESUS FAVELA

MODESTO, CA
NPI1598889529
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2007-03-16
Last Update Date2007-07-08
Business Address
-- JESUS FAVELA
1208 9TH ST
MODESTO, CA 95354-0713
Phone number: 209-558-4464
Mailing Address
-- JESUS FAVELA
800 SCENIC DR
MODESTO, CA 95350-6131
Phone number: 209-558-4464
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