NATHAN SHAW WENTLAND

SAN DIEGO, CA
NPI1679224349
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy175T00000X Peer Specialist
Additional Taxonomies101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2022-01-14
Last Update Date2022-06-13
Business Address
NATHAN SHAW WENTLAND
1733 EUCLID AVE
SAN DIEGO, CA 92105-5414
Phone number: 619-263-0433
Mailing Address
NATHAN SHAW WENTLAND
872 DELGADO PL
ESCONDIDO, CA 92025-5666
Phone number: 161-975-6153
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