GUADALUPE V BAZAN

YAKIMA, WA
NPI1699391573
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  60914407)
Enumeration Date2020-06-17
Last Update Date2020-06-17
Business Address
Mr. GUADALUPE V BAZAN SUDPT
609 W LOGAN AVE
YAKIMA, WA 98902-5553
Phone number: 509-367-1674
Mailing Address
Mr. GUADALUPE V BAZAN SUDPT
609 W LOGAN AVE
YAKIMA, WA 98902-5553
Phone number: 509-367-1674
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