ERAN JAX BARKER

DIAMOND SPRINGS, CA
NPI1790276731
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  1255760617)
Enumeration Date2018-05-25
Last Update Date2022-06-17
Business Address
ERAN JAX BARKER SUDRC 12517
484 MAIN ST
DIAMOND SPRINGS, CA 95619-9100
Phone number: 916-502-6239
Mailing Address
ERAN JAX BARKER SUDRC 12517
484 MAIN ST
DIAMOND SPRINGS, CA 95619-9100
Phone number:
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