JAMAR EPHFORM

SAN PEDRO, CA
NPI1740002880
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  24968)
Enumeration Date2024-10-29
Last Update Date2024-10-29
Business Address
JAMAR EPHFORM
505 S PACIFIC AVE
SAN PEDRO, CA 90731-2656
Phone number: 310-519-8723
Mailing Address
JAMAR EPHFORM
376 W 15TH ST
SAN PEDRO, CA 90731-4806
Phone number: 562-612-5292
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