Organization
BONSALLS SHOES INC
Active
Other names
No
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARJORIE T. BONSALL A.B.C. (OWNER)
(408) 376-0495
Entity
Organization
Contact information
Practice address
4701 HAMILTON AVE STE 701, SAN JOSE, CA 95130-1789
(408) 376-0495
(408) 376-0498
Mailing address
4701 HAMILTON AVE, SAN JOSE, CA 95130-1789
(408) 376-0495
(408) 376-0498
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1276
CA
Other
Enumeration date
07/18/2007
Last updated
01/31/2012
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