ANTHONY LAMAR JASPER

SAN LEANDRO, CA
NPI1871083535
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2018-05-17
Last Update Date2018-05-17
Business Address
ANTHONY LAMAR JASPER
2035 FAIRMONT DR
SAN LEANDRO, CA 94578-1088
Phone number: 510-346-7836
Mailing Address
ANTHONY LAMAR JASPER
2035 FAIRMONT DR
SAN LEANDRO, CA 94578-1088
Phone number: 510-346-7836
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