DWAINE LEO FRYE

FREMONT, CA
NPI1891974382
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2007-10-31
Last Update Date2007-10-31
Business Address
Mr. DWAINE LEO FRYE
4510 PERALTA BLVD SUITE 1
FREMONT, CA 94536-5755
Phone number: 510-713-3202
Mailing Address
Mr. DWAINE LEO FRYE
4510 PERALTA BLVD SUITE 1
FREMONT, CA 94536-5755
Phone number: 510-713-3202