Individual
IVY M CONSTANTINO-BONILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4150 CLEMENT ST, SAN FRANCISCO, CA 94121-1563
(415) 221-4810
Mailing address
4150 CLEMENT ST, SAN FRANCISCO, CA 94121-1563
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95224630
CA
Other
Enumeration date
04/30/2026
Last updated
04/30/2026
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