GERARDO LABASTIDA

BLOOMINGTON, CA
NPI1134081433
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101Y00000X Counselor
Enumeration Date2025-11-25
Last Update Date2025-11-25
Business Address
GERARDO LABASTIDA
18612 SANTA ANA AVE
BLOOMINGTON, CA 92316-2639
Phone number: 909-421-7120
Mailing Address
GERARDO LABASTIDA
18612 SANTA ANA AVE
BLOOMINGTON, CA 92316-2639
Phone number: 909-421-7120