Alonzo Donell Govain SR. COUNSELOR

NPI 1487886131 - Counselor - 101YA0400X

NPI Details
NPI 1487886131
Gender Male
Enumeration Date 08/13/2009
Last Updated 01/29/2014
Entity Type Individual
Active Over 8 years ago
Practice Location
1330 CONTRA COSTA AVENUE.
K106
SAN PABLO CA, 94806-4001, US
Phone (510) 685-3703
Fax (888) 411-0139
Business Location
1330 CONTRA COSTA AVENUE.
K106
SAN PABLO CA, 94806-4001, US
Phone (510) 685-3703
Fax (888) 411-0139
Toxanomy
Taxonomy Code 101YA0400X
License State California
License Number I3570212
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According to our database, Mr. Alonzo Donell Govain SR. COUNSELOR NPI is 1487886131, taxonomy code is 101YA0400X and license number is I3570212, license state is located at California. Alonzo Donell Govain SR. COUNSELOR physically located at 1330 Contra Costa Avenue., San Pablo CA, 94806-4001. NPI Number Alonzo Donell Govain SR. COUNSELOR has the Individual type.

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1487886131 NPI number is provided on an as is basis without warranty of any kind. 1487886131 is maintained by the National Plan & Provider Enumeration System. The contents of Alonzo Donell Govain SR. COUNSELOR are for informational purposes only.