Tina Bollendorf

NPI 1275879835 - Case Management - 251B00000X

NPI Details
NPI 1275879835
Enumeration Date 12/28/2012
Last Updated 12/28/2012
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name TINA TINA
Position THERAPIST
Phone (510) 544-9302
Fax
Practice Location
3637 GRAND AVE STE E
OAKLAND CA, 94610-2029, US
Phone (510) 544-9302
Fax
Business Location
3637 GRAND AVE STE E
OAKLAND CA, 94610-2029, US
Phone (510) 544-9302
Fax
Toxanomy
Taxonomy Code 251B00000X
License State California
License Number MFC43033
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According to our database, Tina Bollendorf NPI is 1275879835, taxonomy code is 251B00000X and license number is MFC43033, license state is located at California. Tina Bollendorf physically located at 3637 Grand Ave Ste E, Oakland CA, 94610-2029. NPI Number 1033115704 has the healthcare provider type.

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1275879835 NPI number is provided on an as is basis without warranty of any kind. 1275879835 is maintained by the National Plan & Provider Enumeration System. The contents of Tina Bollendorf are for informational purposes only.