LUIS GABRIEL JORDAN-DOMINGUEZ

LEMON GROVE, CA
NPI1942721964
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2017-06-29
Last Update Date2017-06-29
Business Address
LUIS GABRIEL JORDAN-DOMINGUEZ
3434 GROVE ST
LEMON GROVE, CA 91945
Phone number: 619-281-3706
Mailing Address
LUIS GABRIEL JORDAN-DOMINGUEZ
3434 GROVE ST
LEMON GROVE, CA 91945-1812
Phone number:
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