RUBEN SILVIANO BAUTISTA

LOS ANGELES, CA
NPI1801560032
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2021-08-02
Last Update Date2021-08-02
Business Address
RUBEN SILVIANO BAUTISTA
8831 VENICE BLVD
LOS ANGELES, CA 90034-3223
Phone number: 310-204-5200
Mailing Address
RUBEN SILVIANO BAUTISTA
1162 N MADISON AVE
LOS ANGELES, CA 90029-1808
Phone number:
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