Individual
BARTON BODRIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1065 A ST, HAYWARD, CA 94541-4122
(510) 453-0535
Mailing address
1065 A ST, HAYWARD, CA 94541-4122
(510) 453-0535
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
163W00000X
Registered Nurse
Primary
95288698
CA
Other
Enumeration date
02/04/2018
Last updated
11/10/2022
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