ISMAEL BAZAN

PASCO, WA
NPI1073738456
Other NameISMAEL BAZAN
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  RC00046735)
Enumeration Date2007-04-13
Last Update Date2007-07-08
Business Address
Mr. ISMAEL BAZAN CDPT
720 W COURT ST SUITE 8 NUEVA ESPERANZA
PASCO, WA 99301
Phone number: 509-545-6506
Mailing Address
Mr. ISMAEL BAZAN CDPT
PO BOX 1323
PASCO, WA 99301
Phone number: 509-547-2204
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