Individual
MR. GLEN ANTHONY BRUNO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
85 RAMONA EXPY, PERRIS, CA 92571-7014
(951) 349-4195
Mailing address
36217 PURSH DR, LAKE ELSINORE, CA 92532-2518
(310) 435-0090
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
103466
CA
Other
Enumeration date
09/11/2023
Last updated
09/11/2023
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