WAYNE ANTHONY TOLLIVER

LOS ANGELES, CA
NPI1992905483
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2007-07-23
Last Update Date2007-07-23
Business Address
Mr. WAYNE ANTHONY TOLLIVER
2931 W FLORENCE AVE
LOS ANGELES, CA 90043-5110
Phone number: 323-750-8040
Mailing Address
Mr. WAYNE ANTHONY TOLLIVER
2931 W FLORENCE AVE
LOS ANGELES, CA 90043-5110
Phone number: 323-750-8040
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