Individual
BONNIE MARBLESTONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15004 INNOVATION DR, SAN DIEGO, CA 92128-3491
(858) 605-7885
Mailing address
10790 RANCHO BERNARDO RD, SAN DIEGO, CA 92127-5705
(858) 605-7885
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4583
CA
Other
Enumeration date
12/19/2007
Last updated
11/07/2019
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