JACOB SOUZA

LONG BEACH, CA
NPI1902334360
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy324500000X Substance Abuse Rehabilitation Facility
Enumeration Date2017-05-30
Last Update Date2017-05-30
Business Address
Mr. JACOB SOUZA
4340 MAURY AVE
LONG BEACH, CA 90807-2537
Phone number: 562-270-6344
Mailing Address
Mr. JACOB SOUZA
19072 LINDSAY LN
HUNTINGTON BEACH, CA 92646-2224
Phone number: 714-403-5736