MICHELLE PETRA BASUALDO

PORTERVILLE, CA
NPI1497548051
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  21201)
Enumeration Date2025-05-27
Last Update Date2025-07-31
Business Address
MICHELLE PETRA BASUALDO
89 E MILL AVE
PORTERVILLE, CA 93257-3808
Phone number: 559-853-6222
Mailing Address
MICHELLE PETRA BASUALDO
156 N DOREE ST
PORTERVILLE, CA 93257-5000
Phone number: 559-542-6143