LUIS KARLOS MIKER

BLYTHE, CA
NPI1629725510
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2022-03-09
Last Update Date2022-03-09
Business Address
LUIS KARLOS MIKER RADT
9826 18TH AVE
BLYTHE, CA 92225-9229
Phone number: 760-922-8625
Mailing Address
LUIS KARLOS MIKER RADT
1100 N D ST
SAN BERNARDINO, CA 92410-3524
Phone number: 909-560-1312