JOSE LUIS VERGARA

VALLEJO, CA
NPI1679775977
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2007-05-31
Last Update Date2007-07-08
Business Address
-- JOSE LUIS VERGARA
2201 TUOLUMNE ST
VALLEJO, CA 94589-2524
Phone number: 707-558-1777
Mailing Address
-- JOSE LUIS VERGARA
164 LODI CT
VALLEJO, CA 94589-3621
Phone number: 707-558-1777