Individual
BONNIE JANE NAKASUJI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
130 W VICTORIA ST, GARDENA, CA 90248-3523
(310) 715-2020
Mailing address
130 W VICTORIA ST, GARDENA, CA 90248-3523
(310) 715-2020
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
OT 2018
CA
Other
Enumeration date
11/18/2009
Last updated
11/18/2009
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