CYNABLET AGHASI LOLHAM
Individual Provider (NPI-1)
Active
Counselor, Professional
Provider Information
- NPI Number
1265122261- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1001 NEEDHAM ST, MODESTO, CA, 953540730
- Phone
- (209) 569-0373
Specialties & Taxonomies
Counselor, Professional
Primary License: CA #ASW128863