Individual
DANIEL BELVARIAN BUNHARDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1715 E ROSEWOOD CT, ONTARIO, CA 91764-2622
(805) 280-5715
Mailing address
1715 E ROSEWOOD CT, ONTARIO, CA 91764-2622
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000050295
BOC CERTIFICATION
—
Enumeration date
10/26/2023
Last updated
10/26/2023
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