Individual
GIOVANNI DYRE BONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDMT
Contact information
Practice address
990 WESTGATE DR, VACAVILLE, CA 95687-7902
(707) 685-0421
Mailing address
990 WESTGATE DR, VACAVILLE, CA 95687-7902
(707) 685-0421
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
10/18/2010
Last updated
10/18/2010
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