Individual
BUTCH JOHN HASTARAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
109 PARMAC RD, #1, CHICO, CA 95926-2218
(530) 891-2981
Mailing address
780 PORTAL DR, CHICO, CA 95973-1230
(530) 894-6248
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/03/2008
Last updated
12/03/2008
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