NICHOLAS RANDOLPH PEREZ

SAN LEANDRO, CA
NPI1629557608
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2018-08-09
Last Update Date2020-06-11
Business Address
NICHOLAS RANDOLPH PEREZ
2275 ARLINGTON DR
SAN LEANDRO, CA 94578-1132
Phone number: 510-317-1444
Mailing Address
NICHOLAS RANDOLPH PEREZ
2275 ARLINGTON DR
SAN LEANDRO, CA 94578-1132
Phone number: 510-317-1444