Individual
BASILIO RICO SERRANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2575 DEPOT RD, HAYWARD, CA 94545-2341
(510) 784-5874
Mailing address
2575 DEPOT RD, HAYWARD, CA 94545-2341
(510) 784-5874
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/28/2024
Last updated
10/28/2024
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