Individual
MS. BONITA MAKUCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
11650 RIVERSIDE DR STE 8, STUDIO CITY, CA 91602-1066
(818) 760-4808
Mailing address
5101 MONTEZUMA ST, LOS ANGELES, CA 90042-3230
(323) 333-3258
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
A16028
CA
Other
Enumeration date
05/03/2014
Last updated
05/03/2014
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