Individual
WESLEY BONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1718 MASSACHUSETTS AVE, CAMBRIDGE, MA 02138-1804
(617) 492-5438
Mailing address
168 AUBURN ST, CAMBRIDGE, MA 02139-3944
(302) 698-7680
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
CHI3863
MA
Other
Enumeration date
06/10/2024
Last updated
06/10/2024
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