Individual
AMY LAM-BONILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2000 ALAMEDA DE LAS PULGAS, SAN MATEO, CA 94403-1269
(650) 372-6222
Mailing address
2000 ALAMEDA DE LAS PULGAS, SAN MATEO, CA 94403-1269
(650) 372-6222
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
778018
CA
Other
Enumeration date
10/25/2021
Last updated
10/25/2021
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