YAJAIRA VIVANCO BOTELLO

FOWLER, CA
NPI1881423127
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  SUDRC18809)
Enumeration Date2024-07-26
Last Update Date2024-07-26
Business Address
YAJAIRA VIVANCO BOTELLO
311 E MERCED ST
FOWLER, CA 93625-2316
Phone number: 559-892-9452
Mailing Address
YAJAIRA VIVANCO BOTELLO
311 E MERCED ST
FOWLER, CA 93625-2316
Phone number:
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