JOSE JUAN FABELA

HAYWARD, CA
NPI1659089688
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2022-11-08
Last Update Date2022-11-08
Business Address
Mr. JOSE JUAN FABELA RADT I
107 JACKSON ST
HAYWARD, CA 94544-1948
Phone number: 510-886-8696
Mailing Address
Mr. JOSE JUAN FABELA RADT I
196 CHERRY WAY
HAYWARD, CA 94541-1903
Phone number: 510-886-8696
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