PRUDENCESA P RENFRO

HAWTHORNE, CA
NPI1902262199
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R117981214)
Enumeration Date2016-01-04
Last Update Date2018-08-17
Business Address
Ms. PRUDENCESA P RENFRO
4513 W 115TH ST APT 10
HAWTHORNE, CA 90250
Phone number: 323-445-1115
Mailing Address
Ms. PRUDENCESA P RENFRO
800 W 6TH ST SUITE 1505
LOS ANGELES, CA 90017-2704
Phone number: