KRYSTLEBLUE BAUTISTA SANTOS

COMMERCE, CA
NPI1578812194
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2012-08-29
Last Update Date2012-08-29
Business Address
-- KRYSTLEBLUE BAUTISTA SANTOS
5900 S EASTERN AVE STE 142
COMMERCE, CA 90040-4024
Phone number: 323-622-2020
Mailing Address
-- KRYSTLEBLUE BAUTISTA SANTOS
11334 DUNCAN AVE
LYNWOOD, CA 90262-3043
Phone number: 424-256-4353
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