JESUS EFREN VITAL

PANORAMA CITY, CA
NPI1649745282
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  5565)
Enumeration Date2018-10-10
Last Update Date2018-10-10
Business Address
JESUS EFREN VITAL
9140 VAN NUYS BLVD STE 211
PANORAMA CITY, CA 91402-6764
Phone number: 818-895-2206
Mailing Address
JESUS EFREN VITAL
9140 VAN NUYS BLVD STE 211
PANORAMA CITY, CA 91402-6764
Phone number: 818-895-2206
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