Individual
MR. ALLAN CORNES BARTOLOME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
147 LAKE SHORE DRIVE, RANCHO MIRAGE, CA 92270-4055
(760) 610-1343
Mailing address
70210 HIGHWAY 111 SPACE 42A, RANCHO MIRAGE, CA 92270-4055
(760) 980-5638
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
CA
Other
Enumeration date
03/14/2022
Last updated
03/14/2022
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