Individual
BONNIE MCNIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1900 PRAIRIE CITY RD, FOLSOM, CA 95630-9501
(916) 759-4139
Mailing address
1454 SOUTHWOOD WAY, ROSEVILLE, CA 95747-7305
(916) 759-4139
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
35272
CA
Other
Enumeration date
01/05/2015
Last updated
01/05/2015
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