ANTHONY CARLOS MADRID

VICTORVILLE, CA
NPI1619682341
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA  R1491481222)
Enumeration Date2023-01-17
Last Update Date2024-01-24
Business Address
ANTHONY CARLOS MADRID R1491481222
13333 PALMDALE RD
VICTORVILLE, CA 92392-9364
Phone number: 760-487-3600
Mailing Address
ANTHONY CARLOS MADRID R1491481222
13333 PALMDALE RD
VICTORVILLE, CA 92392-9364
Phone number: 760-241-4917
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