Individual
BRIAN BOLENBAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
628 CALIFORNIA BLVD, SUITE F, SAN LUIS OBISPO, CA 93401-2542
(805) 544-3277
Mailing address
628 CALIFORNIA BLVD, SUITE F, SAN LUIS OBISPO, CA 93401-2542
(805) 544-3277
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HA2571
CA
Other
Enumeration date
02/23/2014
Last updated
02/23/2014
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