ICHIZO YAMADA

LOS ANGELES, CA
NPI1841772209
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  Ci06680117)
Enumeration Date2018-09-02
Last Update Date2018-09-02
Business Address
ICHIZO YAMADA
5318 S CRENSHAW BLVD.
LOS ANGELES, CA 90043
Phone number: 323-293-6291
Mailing Address
ICHIZO YAMADA
5318 S CRENSHAW BLVD.
LOS ANGELES, CA 90043
Phone number: 323-293-6291
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