SAMANTHA ROSE ILAN

GARDEN GROVE, CA
NPI1760216964
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2024-08-29
Last Update Date2024-08-29
Business Address
SAMANTHA ROSE ILAN
13222 CHAPMAN AVE
GARDEN GROVE, CA 92840-4414
Phone number: 855-588-1422
Mailing Address
SAMANTHA ROSE ILAN
13222 CHAPMAN AVE
GARDEN GROVE, CA 92840-4414
Phone number: 855-588-1422
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