Individual
BONNIE MAVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
2801 ATLANTIC AVE, LONG BEACH, CA 90806-1701
(562) 933-2000
Mailing address
225 S HAMILTON DR APT 305, BEVERLY HILLS, CA 90211-3462
(951) 616-4960
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95009619
CA
Other
Enumeration date
04/03/2020
Last updated
04/08/2020
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