Individual
MR. ZACHARY JOHN IMPASTATO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MDIV. BCC.
Contact information
Practice address
11201 BENTON ST, LOMA LINDA, CA 92357-1000
(909) 825-7084
Mailing address
11201 BENTON ST, LOMA LINDA, CA 92357-1000
(909) 825-7084
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
BCC.
CA
Other
Enumeration date
02/22/2022
Last updated
02/22/2022
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