DIANA BORTOLUS

SAN MATEO, CA
NPI1144097916
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  13485)
Enumeration Date2023-12-11
Last Update Date2023-12-11
Business Address
DIANA BORTOLUS SUDRC #13485
2015 PIONEER CT
SAN MATEO, CA 94403-1781
Phone number: 650-348-6603
Mailing Address
DIANA BORTOLUS SUDRC #13485
2015 PIONEER CT STE B
SAN MATEO, CA 94403-1736
Phone number: 650-348-6603
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