Individual
BONITA TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12792 VALLEY VIEW ST STE E, GARDEN GROVE, CA 92845-2509
(714) 898-2580
(714) 898-2589
Mailing address
12792 VALLEY VIEW ST STE E, GARDEN GROVE, CA 92845-2509
(714) 898-2580
(714) 898-2589
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
19705
CA
Other
Enumeration date
07/19/2012
Last updated
07/19/2012
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