DONALD WAYNE MARLATT

SAN RAFAEL, CA
NPI1972870640
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy324500000X Substance Abuse Rehabilitation Facility
(Licence: CA  03-097228)
Enumeration Date2011-11-24
Last Update Date2011-11-24
Business Address
-- DONALD WAYNE MARLATT ras
603 D ST
SAN RAFAEL, CA 94901-3719
Phone number: 415-454-9444
Mailing Address
-- DONALD WAYNE MARLATT ras
603 D ST
SAN RAFAEL, CA 94901-3719
Phone number: 415-454-9444
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