Individual
ADOLPH BORUNDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11200 AVENUE 368, VISALIA, CA 93291-8940
(559) 735-1360
(559) 713-3296
Mailing address
5957 S MOONEY BLVD, VISALIA, CA 93277-9394
(559) 624-8000
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT24798
CA
Other
Enumeration date
12/14/2010
Last updated
12/14/2010
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