CYRUS BOLAN

SACRAMENTO, CA
NPI1487158614
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  22948)
Enumeration Date2018-03-21
Last Update Date2018-03-21
Business Address
CYRUS BOLAN
651 I ST
SACRAMENTO, CA 95814-2400
Phone number: 916-874-5656
Mailing Address
CYRUS BOLAN
1519 55TH ST
SACRAMENTO, CA 95819-4526
Phone number: