JESSICA DALISTAN

UKIAH, CA
NPI1083424113
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy373H00000X Day Training/Habilitation Specialist
Additional Taxonomies172V00000X Community Health Worker
Enumeration Date2025-01-10
Last Update Date2025-04-16
Business Address
JESSICA DALISTAN
776 S STATE ST STE 103
UKIAH, CA 95482-5833
Phone number: 707-463-4915
Mailing Address
JESSICA DALISTAN
776 S STATE ST STE 103
UKIAH, CA 95482-5833
Phone number: