Keith Hardrick Vielle C.C.D.C.

NPI 1114101763 - Counselor - 101YA0400X

NPI Details
NPI 1114101763
Gender Male
Enumeration Date 12/18/2007
Last Updated 12/18/2007
Entity Type Individual
Active Over 8 years ago
Practice Location
17707 STUDEBAKER RD
CERRITOS CA, 90703-2640, US
Phone (562) 402-0677
Fax
Business Location
17707 STUDEBAKER RD
CERRITOS CA, 90703-2640, US
Phone (562) 402-0677
Fax
Toxanomy
Taxonomy Code 101YA0400X
License State California
License Number 104185
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According to our database, Mr. Keith Hardrick Vielle C.C.D.C. NPI is 1114101763, taxonomy code is 101YA0400X and license number is 104185, license state is located at California. Keith Hardrick Vielle C.C.D.C. physically located at 17707 Studebaker Rd, Cerritos CA, 90703-2640. NPI Number Keith Hardrick Vielle C.C.D.C. has the Individual type.

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1114101763 NPI number is provided on an as is basis without warranty of any kind. 1114101763 is maintained by the National Plan & Provider Enumeration System. The contents of Keith Hardrick Vielle C.C.D.C. are for informational purposes only.