Individual
ADRIANA BUONOCORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
340 CA-138, CRESTLINE, CA 92325
(909) 336-3330
Mailing address
PO BOX 1431, TWIN PEAKS, CA 92391-1431
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/09/2021
Last updated
02/17/2022
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