Individual
PHILLIP HENRY LOLONIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2045 FAIRMONT DR, SAN LEANDRO, CA 94578-1088
(510) 667-3913
(510) 667-7711
Mailing address
2045 FAIRMONT DR, SAN LEANDRO, CA 94578-1088
(510) 667-3913
(510) 667-7711
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
—
—
Other
Enumeration date
06/13/2012
Last updated
06/13/2012
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