Individual
MS. BONNEY LOUISE ELLESTAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
650 CLARK WAY, PALO ALTO, CA 94304-2300
(925) 323-5536
Mailing address
530 SHOWERS DR # 7-104, MOUNTAIN VIEW, CA 94040-4740
(925) 323-5536
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
12/14/2006
Last updated
07/08/2007
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