Individual
DR. FRANK ELIZARDE BONGOLAN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
425 EL PINTADO RD, STE. 180, DANVILLE, CA 94526-1848
(925) 596-1100
(925) 328-1138
Mailing address
PO BOX 596, DANVILLE, CA 94526-0596
(925) 596-1100
(925) 362-1726
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
DC28772
CA
Other
Enumeration date
01/18/2007
Last updated
12/28/2011
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