PENNY JENNIFER ANN CRISOSTOMO

TRABUCO CANYON, CA
NPI1831715192
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R1371921119)
Enumeration Date2020-06-23
Last Update Date2020-06-23
Business Address
PENNY JENNIFER ANN CRISOSTOMO RADT
20331 FLANAGAN ROAD
TRABUCO CANYON, CA 92679
Phone number: 818-582-8832
Mailing Address
PENNY JENNIFER ANN CRISOSTOMO RADT
2301 E BALL RD APT 153
ANAHEIM, CA 92806-5312
Phone number: 949-379-9937
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