Individual
MR. ABU BHONAPHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
313 STARBOARD DR, VALLEJO, CA 94590-4025
(707) 280-8551
(707) 558-8536
Mailing address
313 STARBOARD DR, VALLEJO, CA 94590-4025
(707) 280-8551
(707) 558-8536
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
09/05/2007
Last updated
09/05/2007
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