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Individual

MR. ANTWONE MARKEYS LOVEST JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RADT

Contact information

Practice address
44359 PALM ST, INDIO, CA 92201-3116
(760) 342-6616
Mailing address
44359 PALM ST, INDIO, CA 92201-3116
(760) 342-6616

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
R1561560524
CA
101YA0400X
Addiction (Substance Use Disorder) Counselor

Other

Enumeration date
06/03/2024
Last updated
06/03/2024
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