RICKY LEE DIFFENDERFER

MORGAN HILL, CA
NPI1982888517
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2007-12-18
Last Update Date2007-12-18
Business Address
-- RICKY LEE DIFFENDERFER
18217 HALE AVE
MORGAN HILL, CA 95037-3550
Phone number: 408-465-8280
Mailing Address
-- RICKY LEE DIFFENDERFER
18225 HALE AVE
MORGAN HILL, CA 95037-3547
Phone number: 408-465-8280
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