TANAGON MICKE PACHECO

CULVER CITY, CA
NPI1629385562
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2010-09-13
Last Update Date2012-06-11
Business Address
Mr. TANAGON MICKE PACHECO
4760 SEPULVEDA BLVD
CULVER CITY, CA 90230-4820
Phone number: 310-090-6612
Mailing Address
Mr. TANAGON MICKE PACHECO
4760 SEPULVEDA BLVD
CULVER CITY, CA 90230-4820
Phone number: 310-090-6612
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