ELISEO GASTELUM

FAIRFIELD, CA
NPI1528122975
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2006-12-20
Last Update Date2007-07-08
Business Address
-- ELISEO GASTELUM
1745 ENTERPRISE DR BLDG 2 SUITE I-64
FAIRFIELD, CA 94533-5801
Phone number: 707-427-6640
Mailing Address
-- ELISEO GASTELUM
655 WIEGAND WAY
DIXON, CA 95620-4524
Phone number: 707-365-1057
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