ELVIS PERCY

POMONA, CA
NPI1720450513
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2015-10-20
Last Update Date2015-10-20
Business Address
-- ELVIS PERCY
2180 VALLEY BLVD
POMONA, CA 91768-3325
Phone number: 909-865-2336
Mailing Address
-- ELVIS PERCY
2180 VALLEY BLVD
POMONA, CA 91768-3325
Phone number: 909-865-2336
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