RAY DE ANDA

MODESTO, CA
NPI1760860779
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2015-05-11
Last Update Date2015-05-11
Business Address
-- RAY DE ANDA
1700 MCHENRY VILLAGE WAY STE 11
MODESTO, CA 95350-4341
Phone number: 209-526-1476
Mailing Address
-- RAY DE ANDA
1700 MCHENRY VILLAGE WAY STE 11
MODESTO, CA 95350-4341
Phone number: 209-526-1476
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