JONATHAN ALEXANDER CANTU

SAN RAFAEL, CA
NPI1932688033
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2018-08-09
Last Update Date2018-08-09
Business Address
JONATHAN ALEXANDER CANTU
1466 LINCOLN AVE
SAN RAFAEL, CA 94901-2021
Phone number: 415-457-3755
Mailing Address
JONATHAN ALEXANDER CANTU
655 ENTERPRISE DR APT 196
ROHNERT PARK, CA 94928-2492
Phone number: 192-586-4395
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