Individual
BRYCE BACARRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
140 S C ST, PORTERVILLE, CA 93257-4822
(559) 521-0632
Mailing address
140 S C ST, PORTERVILLE, CA 93257-4822
(559) 521-0632
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1093540767
TELECARE KERN FSP
CA
Enumeration date
06/03/2025
Last updated
12/03/2025
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