DOMINIC SAVIO ORTIZ

SAN RAFAEL, CA
NPI1902672603
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA  16296)
Enumeration Date2023-12-04
Last Update Date2023-12-04
Business Address
DOMINIC SAVIO ORTIZ SUDRC 16296
13 PETER BEHR DR
SAN RAFAEL, CA 94903-5216
Phone number: 415-473-4161
Mailing Address
DOMINIC SAVIO ORTIZ SUDRC 16296
13 PETER BEHR DR
SAN RAFAEL, CA 94903-5216
Phone number: 415-473-4161
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