JAIME BALDOVINOS

SANTA ROSA, CA
NPI1902160039
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date2012-07-03
Last Update Date2012-07-03
Business Address
JAIME BALDOVINOS
429 SPEERS RD
SANTA ROSA, CA 95409-3123
Phone number: 707-571-2215
Mailing Address
JAIME BALDOVINOS
PO BOX 2587
SANTA ROSA, CA 95405-0587
Phone number:
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