Individual
PROLAN ROBLES FANDIALAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9706 HARVEY CT, BAKERSFIELD, CA 93312-2829
(661) 717-2006
(800) 268-1798
Mailing address
9706 HARVEY CT, BAKERSFIELD, CA 93312-2829
(661) 717-2006
(800) 268-1798
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
157201805
CA
Other
Enumeration date
12/07/2018
Last updated
12/07/2018
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