Individual
FERNANDO ZAVALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
160 E HOLT AVE STE B, POMONA, CA 91767-5407
(909) 620-2521
Mailing address
4841 RAWHIDE ST, MONTCLAIR, CA 91763-6153
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
16858
CA
Other
Enumeration date
05/08/2019
Last updated
06/26/2024
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