PAUL M DERTIEN

SAN FRANCISCO, CA
NPI1902016363
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2007-05-23
Last Update Date2007-07-08
Business Address
Mr. PAUL M DERTIEN
995 POTRERO AVE WARD 93
SAN FRANCISCO, CA 94110-2859
Phone number: 415-206-8412
Mailing Address
Mr. PAUL M DERTIEN
3769 CESAR CHAVEZ APT A
SAN FRANCISCO, CA 94110-4316
Phone number: 415-648-2661
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