SANTIAGO JESUS REYNOSO

SYLMAR, CA
NPI1730609132
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2017-06-27
Last Update Date2022-07-21
Business Address
SANTIAGO JESUS REYNOSO
13496 GLADSTONE AVE
SYLMAR, CA 91342-2277
Phone number: 818-312-6068
Mailing Address
SANTIAGO JESUS REYNOSO
13496 GLADSTONE AVE
SYLMAR, CA 91342-2277
Phone number: 818-312-6068
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