Individual
MR. BAILEY BOSTWICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1028 RENO AVE, MODESTO, CA 95351-1127
(209) 579-1103
(209) 578-1085
Mailing address
1028 RENO AVE, MODESTO, CA 95351-1127
(209) 579-1103
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/11/2022
Last updated
08/11/2022
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