Individual
MR. BENJAMIN WAYNE BOLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1830 S CENTRAL ST, VISALIA, CA 93277-4418
(559) 730-2969
Mailing address
1830 S CENTRAL ST, VISALIA, CA 93277-4418
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
11/08/2021
Last updated
11/08/2021
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