Individual
JUSTINE MICHELLE BONO FOLTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3350 LA JOLLA VILLAGE DR, SAN DIEGO, CA 92161-6526
(858) 642-3617
(858) 642-1198
Mailing address
14476 JANAL WAY, SAN DIEGO, CA 92129-1626
(858) 414-1770
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
18188
CA
Other
Enumeration date
10/02/2008
Last updated
04/26/2019
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