Individual
ANN ELIZABETH BONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4835 VAN NUYS BLVD STE 210, SHERMAN OAKS, CA 91403-2156
(818) 784-1354
Mailing address
4835 VAN NUYS BLVD STE 210, SHERMAN OAKS, CA 91403-2156
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
02/17/2022
Last updated
02/17/2022
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