Individual
BONNIE BASHORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
104 BARNES ST, OCEANSIDE, CA 92054-3406
(760) 967-4559
Mailing address
104 BARNES ST, OCEANSIDE, CA 92054-3406
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
686897
CA
Other
Enumeration date
01/15/2008
Last updated
01/15/2008
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