DAVIDSON OWAN

LOMA LINDA, CA
NPI1609229632
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2016-07-14
Last Update Date2016-07-14
Business Address
-- DAVIDSON OWAN MSCP
11201 BENTON ST
LOMA LINDA, CA 92357-1000
Phone number: 909-825-7084
Mailing Address
-- DAVIDSON OWAN MSCP
11201 BENTON ST
LOMA LINDA, CA 92357-1000
Phone number: 909-825-7084
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