Individual
MR. HERBERT RAY BUMGART JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1295 STATE ST SUITE 106, EL CENTRO, CA 92251
(760) 336-8534
(760) 337-7885
Mailing address
1295 STATE ST SUITE 106, EL CENTRO, CA 92251
(760) 336-8534
(760) 337-7885
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
—
—
Other
Enumeration date
02/07/2007
Last updated
07/08/2007
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