RODNEY DWAYNE JOHNSON

LOS ANGELES, CA
NPI1841703535
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  190081kn)
Enumeration Date2017-11-16
Last Update Date2017-11-16
Business Address
RODNEY DWAYNE JOHNSON CAADE 12397-R
4445 BURNS AVE
LOS ANGELES, CA 90029-2702
Phone number: 323-664-8969
Mailing Address
RODNEY DWAYNE JOHNSON CAADE 12397-R
4445 BURNS AVE
LOS ANGELES, CA 90029-2702
Phone number: 323-664-8969
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