Individual
ANTONIO DE JESUS SANCHEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
717 LINCOLN BLVD, VENICE, CA 90291-2845
(310) 399-9883
(310) 399-9678
Mailing address
717 LINCOLN BLVD, VENICE, CA 90291-2845
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/15/2020
Last updated
10/15/2020
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