Individual
BENNY BOUNMY SRIPASERTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASE MANAGER
Contact information
Practice address
546 E TULARE AVE, VISALIA, CA 93292
(559) 733-6215
Mailing address
5957 S MOONEY BLVD, VISALIA, CA 93277
(559) 737-4669
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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