MALIK JAMAL AVERY

SAN DIMAS, CA
NPI1811459118
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2019-04-04
Last Update Date2019-04-04
Business Address
MALIK JAMAL AVERY
762 CYPRESS ST
SAN DIMAS, CA 91773-3505
Phone number: 909-599-1227
Mailing Address
MALIK JAMAL AVERY
762 CYPRESS ST
SAN DIMAS, CA 91773-3505
Phone number: