KRISTOPHER BACA

LOS ANGELES, CA
NPI1295518322
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2023-08-14
Last Update Date2023-08-14
Business Address
KRISTOPHER BACA
4445 BURNS AVE
LOS ANGELES, CA 90029-2702
Phone number: 323-691-2877
Mailing Address
KRISTOPHER BACA
4445 BURNS AVE
LOS ANGELES, CA 90029-2702
Phone number: 323-691-2877
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