DELANO HOMER SANDUSKY

SAN DIEGO, CA
NPI1992032858
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2009-11-12
Last Update Date2009-11-12
Business Address
Mr. DELANO HOMER SANDUSKY
3969 4TH AVE SUITE 203
SAN DIEGO, CA 92103-3165
Phone number: 619-550-3420
Mailing Address
Mr. DELANO HOMER SANDUSKY
3969 FOURTH AVE., SUITE 203
SAN DIEGO, CA 92103
Phone number: 619-550-3420