Individual
BURNEY IRVIN IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRT
Contact information
Practice address
2002 HOLLY AVE, ONTARIO, CA 91762-6322
(909) 821-5111
(909) 986-2545
Mailing address
2002 HOLLY AVE, ONTARIO, CA 91762-6322
(909) 821-5111
(909) 986-2545
Taxonomy
Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
26804
CA
2278E1000X
Educational Certified Respiratory Therapist
Primary
26804
CA
2278H0200X
Home Health Certified Respiratory Therapist
26804
CA
Other
Enumeration date
03/04/2014
Last updated
03/04/2014
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