KILLIAN DRAKE BRIDGES

STOCKTON, CA
NPI1922563956
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2019-02-04
Last Update Date2024-01-06
Business Address
KILLIAN DRAKE BRIDGES
1212 N CALIFORNIA ST
STOCKTON, CA 95202-1552
Phone number: 209-468-0102
Mailing Address
KILLIAN DRAKE BRIDGES
1212 N CALIFORNIA ST
STOCKTON, CA 95202-1552
Phone number: 209-468-0102
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