Individual
ROLAND KLINTON BARANOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11201 BENTON ST, LOMA LINDA, CA 92357-1000
(909) 583-6033
Mailing address
11201 BENTON ST, LOMA LINDA, CA 92357-1000
(909) 583-6033
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
Primary
14786
PR
Other
Enumeration date
09/27/2006
Last updated
04/18/2013
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