Individual
ERIC A BONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12861 GILMORE AVE, LOS ANGELES, CA 90066-6405
(209) 658-9748
Mailing address
12861 GILMORE AVE, LOS ANGELES, CA 90066-6405
(209) 658-9748
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
390200000X
CA
Other
Enumeration date
06/14/2021
Last updated
06/14/2021
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