Individual
BRIAN SANTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4 VILLAGE LOOP, POMONA, CA 91766
(909) 865-0191
Mailing address
4 VILLAGE LOOP RD, POMONA, CA 91766-4891
(909) 865-0191
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/19/2012
Last updated
11/19/2012
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