SUSIE JULIANA BAUTISTA

SAN LUIS OBISPO, CA
NPI1003209685
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106H00000X Marriage & Family Therapist
Enumeration Date2015-03-06
Last Update Date2015-03-06
Business Address
-- SUSIE JULIANA BAUTISTA
2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401-4535
Phone number: 805-781-4960
Mailing Address
-- SUSIE JULIANA BAUTISTA
2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401-4535
Phone number: