Individual
MS. BONNIE JILL WEISSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
5601 DE SOTO AVE, WOODLAND HILLS, CA 91367-6701
(818) 719-3958
Mailing address
PO BOX 3627, GRANADA HILLS, CA 91394-0627
(818) 368-0619
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
AT595
CA
Other
Enumeration date
09/06/2011
Last updated
09/06/2011
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