Individual
BONNIE BAYYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1333 CHESTNUT AVE, LONG BEACH, CA 90813-2944
(310) 753-2300
Mailing address
1333 CHESTNUT AVE, LONG BEACH, CA 90813-2944
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95012366
CA
Other
Enumeration date
09/30/2020
Last updated
10/14/2020
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