COREY ANTHONY AVALOZ

ANTIOCH, CA
NPI1871018101
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date2017-08-08
Last Update Date2017-08-08
Business Address
COREY ANTHONY AVALOZ
1408 A ST
ANTIOCH, CA 94509-2331
Phone number: 925-978-2873
Mailing Address
COREY ANTHONY AVALOZ
1408 A ST
ANTIOCH, CA 94509-2331
Phone number: 925-978-2873
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