NPI | 1386850998 |
---|---|
Professional Name | JUAN ALFREDO BEDOLLA |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 95059739) |
Additional Taxonomies | 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: CA 95059739) |
363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CA 95005969) | |
101YM0800X Counselor Mental Health | |
Enumeration Date | 2007-05-14 |
Last Update Date | 2024-04-16 |