Individual
MR. DOUGLAS JONATHAN BURLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RAS
Contact information
Practice address
2429 SAMMY CT, RESCUE, CA 95672-9644
(530) 409-5232
Mailing address
2429 SAMMY CT, RESCUE, CA 95672-9644
(530) 409-5232
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
RI-B0801300919
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RI-B0801300919
REGISTERED ADDICTION SPEC
CA
Enumeration date
03/28/2008
Last updated
03/28/2008
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