Individual
BARRY MARTIN BONGBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2525 NORTH CHESTER, BAKERSFIELD, CA 93308
(661) 868-1842
(661) 868-1841
Mailing address
PO BOX 1000, BAKERSFIELD, CA 93302-1000
(661) 868-6601
(661) 868-6666
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/16/2007
Last updated
07/08/2007
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