Individual
ANGELINA BONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
401 E CYPRESS AVE, LOMPOC, CA 93436-6806
(805) 865-1940
Mailing address
401 E CYPRESS AVE, LOMPOC, CA 93436-6806
(805) 865-1940
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
CA
Other
Enumeration date
02/12/2021
Last updated
02/26/2021
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