TANDIS KAYE POURBASTANI

SAN ANDREAS, CA
NPI1598356586
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: CA  103662)
Enumeration Date2021-02-01
Last Update Date2021-10-04
Business Address
TANDIS KAYE POURBASTANI
564 MOUNTAIN RANCH RD
SAN ANDREAS, CA 95249-9782
Phone number: 209-498-2227
Mailing Address
TANDIS KAYE POURBASTANI
564 MOUNTAIN RANCH RD
SAN ANDREAS, CA 95249-9782
Phone number: 209-498-2227
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