Individual
ALEXANDER STAVROS BONY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5320 HIGHWAY 49 N STE 4, MARIPOSA, CA 95338-9588
(559) 683-2084
(209) 317-4020
Mailing address
40680 HIGHWAY 41 STE D, OAKHURST, CA 93644-9657
(559) 667-2101
(209) 317-4020
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/29/2019
Last updated
08/11/2020
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