EYOB FANTAY

CHULA VISTA, CA
NPI1639884133
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA  R1448371021)
Enumeration Date2023-01-18
Last Update Date2023-01-18
Business Address
EYOB FANTAY RADT
73 N 2ND AVE STE B
CHULA VISTA, CA 91910-1124
Phone number: 619-426-4801
Mailing Address
EYOB FANTAY RADT
73 N 2ND AVE STE B
CHULA VISTA, CA 91910-1124
Phone number: 619-426-4801
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