JOSE CARLOS FONTANILLO

SALINAS, CA
NPI1669119533
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  13066)
Enumeration Date2022-05-12
Last Update Date2022-05-12
Business Address
JOSE CARLOS FONTANILLO SUDRC
11 PEACH DR
SALINAS, CA 93901-3710
Phone number: 408-661-1647
Mailing Address
JOSE CARLOS FONTANILLO SUDRC
11 PEACH DR
SALINAS, CA 93901-3710
Phone number: 408-661-1647
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