PRENTICE POWELL

SAN JOSE, CA
NPI1760880462
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy251S00000X Community/Behavioral Health
Enumeration Date2014-12-11
Last Update Date2014-12-11
Business Address
-- PRENTICE POWELL
2177 ALUM ROCK AVE APT 139
SAN JOSE, CA 95116-2063
Phone number: 510-383-6335
Mailing Address
-- PRENTICE POWELL
2177 ALUM ROCK AVE APT 139
SAN JOSE, CA 95116-2063
Phone number: 510-383-6335
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