BRYAN LEONARDO FIALLOS

EUREKA, CA
NPI1841837945
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2019-12-08
Last Update Date2019-12-08
Business Address
BRYAN LEONARDO FIALLOS
720 WOOD ST
EUREKA, CA 95501-4413
Phone number: 707-268-2990
Mailing Address
BRYAN LEONARDO FIALLOS
615 W WABASH AVE APT B
EUREKA, CA 95501-2893
Phone number: 323-243-3253