EDNA MARIE WHITE

VALLEJO, CA
NPI1679019152
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy324500000X Substance Abuse Rehabilitation Facility
(Licence: CA  R1221770116)
Enumeration Date2017-01-09
Last Update Date2017-01-09
Business Address
-- EDNA MARIE WHITE RDAT-1 R1221770116
126 OHIO ST
VALLEJO, CA 94590-5049
Phone number: 707-644-5577
Mailing Address
-- EDNA MARIE WHITE RDAT-1 R1221770116
126 OHIO ST
VALLEJO, CA 94590-5049
Phone number: 707-644-5577
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