MATTHEW KEVIN KNIFONG

SACRAMENTO, CA
NPI1992180871
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R1205960715)
Enumeration Date2015-07-21
Last Update Date2015-07-23
Business Address
-- MATTHEW KEVIN KNIFONG RADT-1
1446 ETHAN WAY
SACRAMENTO, CA 95825-2214
Phone number: 916-223-7178
Mailing Address
-- MATTHEW KEVIN KNIFONG RADT-1
1446 ETHAN WAY
SACRAMENTO, CA 95825-2214
Phone number: 916-223-7178
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