Individual
ESTHER BOLANOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1370 TOURMALINE AVE, MENTONE, CA 92359-1239
(323) 534-0102
Mailing address
1370 TOURMALINE AVE, MENTONE, CA 92359-1239
(323) 534-0102
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
807082
CA
Other
Enumeration date
01/07/2019
Last updated
09/04/2021
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