FERNANDO BALLESTEROS

SYLMAR, CA
NPI1285451807
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy373H00000X Day Training/Habilitation Specialist
Additional Taxonomies172V00000X Community Health Worker
Enumeration Date2024-09-24
Last Update Date2025-05-19
Business Address
FERNANDO BALLESTEROS
14139 BUCHER AVE
SYLMAR, CA 91342-1442
Phone number: 310-221-6336
Mailing Address
FERNANDO BALLESTEROS
14139 BUCHER AVE
SYLMAR, CA 91342-1442
Phone number: 310-221-6336