SAMUEL LAWRENCE BOUTIN

SAN LEANDRO, CA
NPI1790128544
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Additional Taxonomies172V00000X Community Health Worker
Enumeration Date2013-04-11
Last Update Date2014-07-31
Business Address
Mr. SAMUEL LAWRENCE BOUTIN
2275 ARLINGTON DR
SAN LEANDRO, CA 94578-1132
Phone number: 510-317-1444
Mailing Address
Mr. SAMUEL LAWRENCE BOUTIN
2275 ARLINGTON DR
SAN LEANDRO, CA 94578-1132
Phone number: 510-317-1444
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