ADAM LAWRENCE BASTUBA

SAN BERNARDINO, CA
NPI1083582407
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2025-10-27
Last Update Date2025-10-27
Business Address
ADAM LAWRENCE BASTUBA
1100 N D ST
SAN BERNARDINO, CA 92410-3524
Phone number: 909-381-3774
Mailing Address
ADAM LAWRENCE BASTUBA
5219 UPPERHILL DR
RIVERSIDE, CA 92507-5982
Phone number: 951-483-7254
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