Individual
BUNRY HORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2501 ATLANTIC AVE, LONG BEACH, CA 90806-2708
(562) 424-6105
Mailing address
2501 ATLANTIC AVE, LONG BEACH, CA 90806-2708
(562) 424-6105
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
102916
CA
Other
Enumeration date
08/04/2020
Last updated
08/04/2020
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