Individual
MRS. ALTHEA BONSOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2801 ATLANTIC AVE, LONG BEACH, CA 90806-1701
(562) 933-2000
Mailing address
23014 SERRA DR, CARSON, CA 90745-4959
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95003995
CA
Other
Enumeration date
09/01/2016
Last updated
11/18/2020
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