Alfredo J Bolanos JR.

NPI #1649754417 in San Dimas, California

Provider Information

NPI Number: 1649754417
Entity Type: Individual
Name: Alfredo J Bolanos JR.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Sep 18, 2018
Last Updated: Apr 24, 2019

Practice Location

Address: 762 CYPRESS ST
City: San Dimas
State: California
ZIP Code: 91773-3505
Phone: (909) 599-1227

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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