Individual
MR. JESUS BRACAMONTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RADT 1
Contact information
Practice address
2727 N BRISTOL ST, SANTA ANA, CA 92706-1457
(657) 231-6099
Mailing address
2727 N BRISTOL ST, SANTA ANA, CA 92706-1457
(657) 231-6099
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
—
—
Other
Enumeration date
06/07/2018
Last updated
06/07/2018
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