GEORGE WALTON TAY

RIVERSIDE, CA
NPI1619465317
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA  R1291540218)
Enumeration Date2018-04-27
Last Update Date2018-04-27
Business Address
MR. GEORGE WALTON TAY RADT-1
1660 CHICAGO AVE
RIVERSIDE, CA 92507-2068
Phone number: 951-823-0540
Mailing Address
MR. GEORGE WALTON TAY RADT-1
1660 CHICAGO AVE
RIVERSIDE, CA 92507-2068
Phone number: 951-823-0540