Virgil L Bolo JR.

NPI #1902485675 in Oxnard, California

Provider Information

NPI Number: 1902485675
Entity Type: Individual
Name: Virgil L Bolo JR.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Apr 7, 2021
Last Updated: Apr 7, 2021

Practice Location

Address: 1889 N RICE AVE
City: Oxnard
State: California
ZIP Code: 93030-7270
Phone: (805) 278-0612

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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