DEMETRIUS JERRELL

SAN DIEGO, CA
NPI1619701018
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  19181)
Enumeration Date2024-08-28
Last Update Date2024-08-28
Business Address
Mr. DEMETRIUS JERRELL SUDRC
6145 IMPERIAL AVE
SAN DIEGO, CA 92114-4213
Phone number: 619-234-8888
Mailing Address
Mr. DEMETRIUS JERRELL SUDRC
6145 IMPERIAL AVE
SAN DIEGO, CA 92114-4213
Phone number: 619-234-8888
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