JOSE RENTERIA

LA PUENTE, CA
NPI1720480650
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  Rw7465)
Enumeration Date2014-09-23
Last Update Date2014-09-23
Business Address
Mr. JOSE RENTERIA
15229 AMAR RD
LA PUENTE, CA 91744-2066
Phone number: 626-855-5090
Mailing Address
Mr. JOSE RENTERIA
15229 AMAR RD
LA PUENTE, CA 91744-2066
Phone number: 626-855-5090
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