Individual
MRS. BONNIE JEAN COPLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N., MSN
Contact information
Practice address
5202 UNIVERSITY AVE, SAN DIEGO, CA 92105-2268
(619) 229-5402
Mailing address
5202 UNIVERSITY AVE, SAN DIEGO, CA 92105-2268
(619) 229-5402
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
456002
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
456002
R.N. LICENSE
CA
Enumeration date
03/07/2007
Last updated
07/08/2007
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