DOUGLAS AMENAGHAWON

SAN LEANDRO, CA
NPI1699012344
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2013-01-14
Last Update Date2013-01-14
Business Address
-- DOUGLAS AMENAGHAWON
545 ESTUDILLO AVE
SAN LEANDRO, CA 94577-4611
Phone number: 510-586-8535
Mailing Address
-- DOUGLAS AMENAGHAWON
545 ESTUDILLO AVE
SAN LEANDRO, CA 94577-4611
Phone number: 510-586-8535