VANESSA BASULTO MACIAS

STOCKTON, CA
NPI1730067752
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2025-08-26
Last Update Date2025-08-26
Business Address
VANESSA BASULTO MACIAS
1839 S EL DORADO ST
STOCKTON, CA 95206-2025
Phone number: 209-463-0872
Mailing Address
VANESSA BASULTO MACIAS
1839 S EL DORADO ST
STOCKTON, CA 95206-2025
Phone number: 209-463-0872
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