Individual
COURTNI N BONNELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1515 E OCEAN AVE, LOMPOC, CA 93436
(805) 737-3300
Mailing address
1515 E OCEAN AVE, LOMPOC, CA 93436-7092
(805) 737-3300
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
1194711952
CA
Other
Enumeration date
09/01/2019
Last updated
09/01/2019
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