Individual
ELIZABETH MARTINEZ BONIFACIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18837 BROOKHURST ST STE 109, FOUNTAIN VALLEY, CA 92708-7301
(657) 260-8951
Mailing address
209 DUCHESS LN, SANTA ANA, CA 92704-1661
(657) 260-8951
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4507
CA
Other
Enumeration date
03/20/2025
Last updated
03/20/2025
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