Individual
MRS. FELY PALMA BONIFACIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, MSN, PHN
Contact information
Practice address
690 OXFORD ST, CHULA VISTA, CA 91911-7111
(619) 409-3130
(619) 409-3113
Mailing address
690 OXFORD ST, CHULA VISTA, CA 91911-7111
(619) 409-3130
(619) 409-3113
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
239471
CA
Other
Enumeration date
04/02/2007
Last updated
06/18/2008
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