JOE ANTHONY BOLANOS

LOS ANGELES, CA
NPI1750037552
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2022-03-01
Last Update Date2022-03-01
Business Address
JOE ANTHONY BOLANOS
1731 E 120TH ST
LOS ANGELES, CA 90059-3051
Phone number: 323-562-4800
Mailing Address
JOE ANTHONY BOLANOS
1731 E 120TH ST
LOS ANGELES, CA 90059-3051
Phone number:
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