VIDAL ANTONIO

SAN FRANCISCO, CA
NPI1881724219
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2007-03-06
Last Update Date2007-07-08
Business Address
Mr. VIDAL ANTONIO
474 VALENCIA ST STE 135
SAN FRANCISCO, CA 94103-3415
Phone number: 415-864-0554
Mailing Address
Mr. VIDAL ANTONIO
3191 17TH ST # 1
SAN FRANCISCO, CA 94110-1332
Phone number: 415-577-8298