Individual
JIOVANNI CARLOS SANTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1315 25TH ST, SAN DIEGO, CA 92102-2107
(719) 961-5233
Mailing address
3790 FLORIDA ST UNIT C121, SAN DIEGO, CA 92104-6226
(619) 453-1885
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
06/14/2019
Last updated
06/14/2019
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