LIZA L BOLANOS

SAN DIEGO, CA
NPI1871840009
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  LMFT94583)
Enumeration Date2012-08-07
Last Update Date2019-01-29
Business Address
LIZA L BOLANOS
1051 PICADOR BLVD
SAN DIEGO, CA 92154-3548
Phone number: 619-628-3665
Mailing Address
LIZA L BOLANOS
2351 CARDINAL LANE ANNEX B
SAN DIEGO, CA 92123
Phone number: 858-573-2227