JESUS AVITIA

ONTARIO, CA
NPI1780159954
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2018-10-03
Last Update Date2018-10-03
Business Address
Mr. JESUS AVITIA CADC II
2940 INLAND EMPIRE BLVD
ONTARIO, CA 91764-4898
Phone number: 909-458-1350
Mailing Address
Mr. JESUS AVITIA CADC II
2940 INLAND EMPIRE BLVD
ONTARIO, CA 91764-4898
Phone number: 909-458-1350
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