LUIS A RENTERIA

GARDENA, CA
NPI1750655825
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2012-03-06
Last Update Date2012-03-06
Business Address
Mr. LUIS A RENTERIA
15519 CRENSHAW BLVD
GARDENA, CA 90249-4525
Phone number: 310-679-9031
Mailing Address
Mr. LUIS A RENTERIA
15519 CRENSHAW BLVD
GARDENA, CA 90249-4525
Phone number: 310-679-9031
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