Individual
MR. BRYANT BERNARD BOLLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
957 INDUSTRIAL RD STE B, SAN CARLOS, CA 94070-4152
(415) 375-7634
(650) 620-9549
Mailing address
957 INDUSTRIAL RD STE B, SAN CARLOS, CA 94070-4152
(415) 375-7634
(650) 620-9549
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/10/2011
Last updated
10/10/2011
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