MINGON VALENCIA MAJOR LANCE

SAN BERNARDINO, CA
NPI1619726643
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA  R1509460623)
Enumeration Date2024-05-13
Last Update Date2024-05-13
Business Address
MINGON VALENCIA MAJOR LANCE RADT
1721 N FAIRFAX DR APT D
SAN BERNARDINO, CA 92404-5500
Phone number: 818-305-1471
Mailing Address
MINGON VALENCIA MAJOR LANCE RADT
1721 N FAIRFAX DR APT D
SAN BERNARDINO, CA 92404-5500
Phone number: 818-305-1471
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