DEWAYNE ANTHONY PHELAN

YUBA CITY, CA
NPI1982349163
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2022-05-02
Last Update Date2023-12-22
Business Address
DEWAYNE ANTHONY PHELAN
1965 LIVE OAK BLVD
YUBA CITY, CA 95991-8850
Phone number: 530-822-7209
Mailing Address
DEWAYNE ANTHONY PHELAN
1965 LIVE OAK BLVD
YUBA CITY, CA 95991-8850
Phone number: 530-822-7209
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