Individual
MARIA ANNIE SHANER SUMAYAO BONGALON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
1214 APOLLO WAY, SUITE 401, SUNNYVALE, CA 94085-5413
(408) 733-1032
(408) 733-0000
Mailing address
1214 APOLLO WAY, SUITE 401, SUNNYVALE, CA 94085-5413
(408) 733-1032
(408) 733-0000
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
31001
CA
Other
Enumeration date
11/10/2008
Last updated
11/10/2008
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