SHAWN LAURITZ MILLER

SIMI VALLEY, CA
NPI1992253009
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy324500000X Substance Abuse Rehabilitation Facility
(Licence: CA  560051AP)
Enumeration Date2016-09-18
Last Update Date2016-09-18
Business Address
-- SHAWN LAURITZ MILLER owner
3069 CISCO CT
SIMI VALLEY, CA 93063-1809
Phone number: 805-624-7700
Mailing Address
-- SHAWN LAURITZ MILLER owner
3069 CISCO CT
SIMI VALLEY, CA 93063-1809
Phone number: 805-624-7700