Individual
BONNIE ELAINE DITZLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
539 N VAN NESS AVE, FRESNO, CA 93728-3419
(559) 266-9581
(559) 498-0507
Mailing address
3707 E SHIELDS AVE, FRESNO, CA 93726-7029
(559) 229-9040
(559) 229-9060
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
232399
CA
Other
Enumeration date
05/29/2018
Last updated
05/18/2023
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