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Individual
DR. RICA BONOMO
Active
Individual
DR. RICA BONOMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
C136995
CA
207P00000X
Emergency Medicine Physician
Primary
D0067517
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174797948
—
CA
Enumeration date
04/14/2008
Last updated
03/05/2019
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