JOSE LUIS BOLANOS

BURBANK, CA
NPI1457563470
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2007-05-03
Last Update Date2007-10-10
Business Address
Mr. JOSE LUIS BOLANOS
2116 N FREDERIC ST 18646 OXNARD ST
BURBANK, CA 91504-3323
Phone number: 818-953-8926
Mailing Address
Mr. JOSE LUIS BOLANOS
2116 N FREDERIC ST 18646 OXNARD ST
BURBANK, CA 91504-3323
Phone number: 818-953-8926
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