Most Relevant Information
Provider Data
| NPI Number: | 1003195991 |
| Provider Name: | WILLIAM BRUCE FAMULARO |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/09/2011 |
| Last Updated: | 08/09/2011 |
Provider Practice Location
975 FLYNN RD
CAMARILLO
CA
930128704
Practice Location Phone/Fax
| Phone: | 8054457800 |
| Fax: |
Provider Mailing Location
975 FLYNN RD
CAMARILLO
CA
930128704
Provider Mailing Phone/Fax
| Phone: | 8054457800 |
| Fax: |