COLMAN R WARDLEY

PLACERVILLE, CA
NPI1609583434
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R1486331022)
Enumeration Date2022-11-01
Last Update Date2022-11-01
Business Address
COLMAN R WARDLEY RADT-I
2844 COLOMA ST
PLACERVILLE, CA 95667-4406
Phone number: 530-344-4544
Mailing Address
COLMAN R WARDLEY RADT-I
2844 COLOMA ST
PLACERVILLE, CA 95667-4406
Phone number: 530-344-4544
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