ALFREDA YVONNE BANTUM

SAN BERNARDINO, CA
NPI1982823944
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: CA  55644)
Additional Taxonomies251S00000X 
Enumeration Date2007-04-25
Last Update Date2013-03-15
Business Address
Ms. ALFREDA YVONNE BANTUM M.S.
1505 W HIGHLAND AVE STE 17
SAN BERNARDINO, CA 92411-1215
Phone number: 909-880-9130
Mailing Address
Ms. ALFREDA YVONNE BANTUM M.S.
20426 TOBIRA LN
RIVERSIDE, CA 92508-3030
Phone number: 951-756-9637
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