JIMS RUSSELL BALISTA

FRESNO, CA
NPI1538717566
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101Y00000X Counselor
Additional Taxonomies171M00000X Case Manager/Care Coordinator
Enumeration Date2019-09-03
Last Update Date2019-10-29
Business Address
JIMS RUSSELL BALISTA
2934 N FRESNO ST
FRESNO, CA 93703-1123
Phone number: 559-549-6697
Mailing Address
JIMS RUSSELL BALISTA
3433 W SHAW AVE STE 102
FRESNO, CA 93711-3229
Phone number:
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