VONCEAL FULFORD

PANORAMA CITY, CA
NPI1952456550
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2007-01-24
Last Update Date2007-07-08
Business Address
-- VONCEAL FULFORD
14847 PARTHENIA ST
PANORAMA CITY, CA 91402-2847
Phone number: 818-920-5628
Mailing Address
-- VONCEAL FULFORD
14847 PARTHENIA ST
PANORAMA CITY, CA 91402-2847
Phone number: 818-920-5628
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