Individual
BRANDIE BONGARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 S HAVEN AVE STE 190, ONTARIO, CA 91761-2971
(760) 981-1069
Mailing address
1500 S HAVEN AVE STE 190, ONTARIO, CA 91761-2971
(760) 981-1069
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
—
—
Other
Enumeration date
06/29/2021
Last updated
06/29/2021
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