ANDREW WILDASINN

UPLAND, CA
NPI1700418837
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  A018030315)
Enumeration Date2020-02-06
Last Update Date2020-02-06
Business Address
ANDREW WILDASINN
239 W 9TH ST
UPLAND, CA 91786-5979
Phone number: 909-981-6121
Mailing Address
ANDREW WILDASINN
239 W 9TH ST
UPLAND, CA 91786-5979
Phone number: 909-981-6121
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