LASUPO LADIPO

SANTA ANA, CA
NPI1629287305
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2007-05-21
Last Update Date2007-07-08
Business Address
Mr. LASUPO LADIPO BA, RRW
2101 E 1ST ST
SANTA ANA, CA 92705-4007
Phone number: 714-542-3581
Mailing Address
Mr. LASUPO LADIPO BA, RRW
7439 LA PALMA AVE # 504
BUENA PARK, CA 90620-2655
Phone number: 714-234-5561