ISAIAH RICARDO JENKINS

COMPTON, CA
NPI1710308689
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  #2c-05-877-1015)
Enumeration Date2013-12-19
Last Update Date2013-12-19
Business Address
-- ISAIAH RICARDO JENKINS
363 W COMPTON BLVD
COMPTON, CA 90220-3110
Phone number: 310-800-8218
Mailing Address
-- ISAIAH RICARDO JENKINS
357 W COMPTON BLVD
COMPTON, CA 90220-3110
Phone number: 310-800-8218