Jonah D Bourbinay
Student in an Organized Health Care Education/Training Program in Riverside, CA. Individual provider (NPI-1).
NPI number1982109237
StatusActive
Last updated in NPPESMar 29, 2018
Details
- NPI
- 1982109237
- Entity type
- Individual (NPI-1)
- Name
- Mr. Jonah D Bourbinay
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 28, 2018
- Last updated
- Mar 29, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
3532 Monroe StRiverside, CA 92504-6322
Phone 952-833-4082
Mailing address
5657 Arlington AveRiverside, CA 92504-2061
Phone 952-833-4082
Other practice locations
8432 Magnolia Ave
Riverside, CA 92504-3206
Riverside, CA 92504-3206
Phone 952-833-4082
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