EZEKIEL ELIZALDE

VISALIA, CA
NPI1740732437
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  B6980291)
Enumeration Date2016-10-27
Last Update Date2016-10-27
Business Address
-- EZEKIEL ELIZALDE
220 N LOCUST ST
VISALIA, CA 93291-4946
Phone number: 559-627-1385
Mailing Address
-- EZEKIEL ELIZALDE
220 N LOCUST ST
VISALIA, CA 93291-4946
Phone number: 559-627-1385
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