JUAN M COLONIA

SAN RAFAEL, CA
NPI1902190424
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2011-06-01
Last Update Date2018-08-24
Business Address
JUAN M COLONIA
3270 KERNER BLVD
SAN RAFAEL, CA 94901
Phone number: 415-473-2100
Mailing Address
JUAN M COLONIA
1 ST VINCENTS DR
SAN RAFAEL, CA 94903
Phone number: 415-507-4232
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