TEQUILA TESHELLE ANGELO

SACRAMENTO, CA
NPI1881968048
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2012-03-05
Last Update Date2012-03-05
Business Address
-- TEQUILA TESHELLE ANGELO
4343 WILLIAMSBOURGH DR
SACRAMENTO, CA 95823-2006
Phone number: 916-395-3552
Mailing Address
-- TEQUILA TESHELLE ANGELO
6390 LOCHINVAR WAY
SACRAMENTO, CA 95823-5670
Phone number: 916-271-3491
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