Provider Demographics
NPI:1093010415
Name:BULURAN, KRISTINA-ROSE ALONDAY
Entity Type:Individual
Prefix:
First Name:KRISTINA-ROSE
Middle Name:ALONDAY
Last Name:BULURAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5043 HOWARD ST
Mailing Address - Street 2:
Mailing Address - City:MONTCLAIR
Mailing Address - State:CA
Mailing Address - Zip Code:91763-6452
Mailing Address - Country:US
Mailing Address - Phone:626-665-7555
Mailing Address - Fax:
Practice Address - Street 1:5043 HOWARD ST
Practice Address - Street 2:
Practice Address - City:MONTCLAIR
Practice Address - State:CA
Practice Address - Zip Code:91763-6452
Practice Address - Country:US
Practice Address - Phone:626-665-7555
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-01-14
Last Update Date:2011-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker