PALOMA HERNANDEZ BASULTO

SAN LUIS OBISPO, CA
NPI1760987556
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  r1300490318)
Enumeration Date2018-03-26
Last Update Date2018-03-26
Business Address
PALOMA HERNANDEZ BASULTO
2180 JOHNSON AVE
SAN LUIS OBISPO, CA 93401-4558
Phone number: 805-473-7008
Mailing Address
PALOMA HERNANDEZ BASULTO
2180 JOHNSON AVE
SAN LUIS OBISPO, CA 93401-4558
Phone number:
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