Individual
MRS. KENDALL BONATUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP-AC
Contact information
Practice address
3020 CHILDRENS WAY, SAN DIEGO, CA 92123-4223
(858) 576-1700
Mailing address
18468 PURDUE DR, SARATOGA, CA 95070-4713
(928) 607-4613
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
95024801
CA
Other
Enumeration date
04/24/2023
Last updated
04/24/2023
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