Individual
MICHAEL ANTHONY BONNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4295 GESNER ST STE 1B, SAN DIEGO, CA 92117-6626
(858) 829-3205
Mailing address
13021 WANESTA DR, POWAY, CA 92064-4507
(858) 829-3205
(858) 829-3205
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
101233
CA
Other
Enumeration date
04/28/2026
Last updated
04/28/2026
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