DIONSHAE WISHUM

MODESTO, CA
NPI1174871206
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2012-08-21
Last Update Date2018-09-28
Business Address
DIONSHAE WISHUM
1235 MCHENRY AVE
MODESTO, CA 95350-5370
Phone number: 209-527-4597
Mailing Address
DIONSHAE WISHUM
500 W HOSPITAL RD
FRENCH CAMP, CA 95231-9693
Phone number: 209-468-6857