Wilbert O. Scott SR. RAS

NPI 1467718122 - Counselor - 101YA0400X

NPI Details
NPI 1467718122
Gender Male
Enumeration Date 04/06/2012
Last Updated 04/06/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
1408 A ST
ANTIOCH CA, 94509-2331, US
Phone (925) 978-2873
Fax (925) 757-0411
Business Location
2852 CASHEW ST
ANTIOCH CA, 94509-7347, US
Phone (510) 381-0901
Fax
Toxanomy
Taxonomy Code 101YA0400X
License State California
License Number S1111101239
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According to our database, Wilbert O. Scott SR. RAS NPI is 1467718122, taxonomy code is 101YA0400X and license number is S1111101239, license state is located at California. Wilbert O. Scott SR. RAS physically located at 1408 A St, Antioch CA, 94509-2331. NPI Number Wilbert O. Scott SR. RAS has the Individual type.

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1467718122 NPI number is provided on an as is basis without warranty of any kind. 1467718122 is maintained by the National Plan & Provider Enumeration System. The contents of Wilbert O. Scott SR. RAS are for informational purposes only.