Nelson Jose Bolanos, PSYCHIATRICTECH
Nelson Jose Bolanos, PSYCHIATRICTECH is a Licensed Psychiatric Technician in Pomona, California. Licensed in California. Registered with an NPI since 2019.
- Licensed in
- CA
- In the registry since
- 2019
Practice location Address checks out
2008 N Garey AvePomona, CA 91767-2722
Phone: (909) 623-6131
Fax: (909) 865-9281
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Specialties & licences
| Licensed Psychiatric Technician (primary) | Taxonomy 167G00000X · Licence PT37969 (CA) |
|---|
Record details
| NPI number | 1376101212 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PSYCHIATRICTECH |
| Sole proprietor | No |
| NPI enumerated | June 5, 2019 |
| Last updated in NPPES | June 17, 2019 |
| Mailing address | 2008 N Garey Ave, Pomona, CA 91767-2722 |
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