BRIAN CARLO EUSTAQUIO

PANORAMA CITY, CA
NPI1902288244
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2015-06-23
Last Update Date2015-06-23
Business Address
-- BRIAN CARLO EUSTAQUIO
9462 VAN NUYS BLVD
PANORAMA CITY, CA 91402-1310
Phone number: 818-891-8555
Mailing Address
-- BRIAN CARLO EUSTAQUIO
9462 VAN NUYS BLVD
PANORAMA CITY, CA 91402-1310
Phone number: 818-891-8555