DESIMAN DWAYNE MILLER

SAN DIEGO, CA
NPI1891520748
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R1557150424)
Enumeration Date2024-09-02
Last Update Date2024-09-02
Business Address
DESIMAN DWAYNE MILLER
1530 DALE ST
SAN DIEGO, CA 92102-1519
Phone number: 619-915-5710
Mailing Address
DESIMAN DWAYNE MILLER
1530 DALE ST
SAN DIEGO, CA 92102-1519
Phone number: