Individual
CONSUELA BOLANOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 HARBOR BLVD, BELMONT, CA 94002-4018
(650) 817-9070
(650) 817-9074
Mailing address
300 HARBOR BLVD, BELMONT, CA 94002-4018
(650) 817-9070
(650) 817-9074
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN222079
CA
Other
Enumeration date
11/14/2016
Last updated
11/14/2016
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