Individual
MR. JOHNNIE BUNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RRW
Contact information
Practice address
1553 SANTA CLARA ST, FRESNO, CA 93706-3447
(559) 939-5999
Mailing address
2940 N FRESNO ST, FRESNO, CA 93703-1123
(559) 939-5999
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
06/10/2011
Last updated
07/14/2026
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