BAILEY BOSTWICK

MODESTO, CA
NPI1811625494
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2022-08-11
Last Update Date2022-08-11
Business Address
Mr. BAILEY BOSTWICK
1028 RENO AVE
MODESTO, CA 95351-1127
Phone number: 209-579-1103
Mailing Address
Mr. BAILEY BOSTWICK
1028 RENO AVE
MODESTO, CA 95351-1127
Phone number: 209-579-1103
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