JORDAN JAMIL DYLAN NAIMAT

ORANGE, CA
NPI1770211278
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2022-08-11
Last Update Date2023-12-05
Business Address
JORDAN JAMIL DYLAN NAIMAT
705 W LA VETA AVE STE 208
ORANGE, CA 92868-4448
Phone number: 714-532-9295
Mailing Address
JORDAN JAMIL DYLAN NAIMAT
705 W LA VETA AVE STE 208
ORANGE, CA 92868-4448
Phone number: 714-532-9295