Individual
MR. BONNIE MICHELLE MORENO HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2495 PINE AVE, LONG BEACH, CA 90806-3029
(562) 477-4244
(323) 726-9789
Mailing address
2495 PINE AVE, LONG BEACH, CA 90806-3029
(562) 477-4244
(323) 726-9789
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA14731
CA
Other
Enumeration date
07/06/2006
Last updated
07/08/2007
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