Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225C00000X | Rehabilitation Counselor |
NPI | 1194313486 |
---|---|
Provider Name | Joselito Flores |
First Address | Bakersfield, CA 93309-1419 |
Second Address | Bakersfield, CA 93309-1419 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/01/2021 |
Last Update Date | 07/01/2021 |