JOSE MATTHEW GAVILANES

SANTA ANA, CA
NPI1699240689
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  RH0010001222)
Enumeration Date2018-10-05
Last Update Date2023-01-06
Business Address
JOSE MATTHEW GAVILANES RADT
1207 E FRUIT ST
SANTA ANA, CA 92701-4206
Phone number: 714-953-9373
Mailing Address
JOSE MATTHEW GAVILANES RADT
1207 E FRUIT ST
SANTA ANA, CA 92701-4206
Phone number:
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