Individual
JESSICA NICOLE BONOAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11022 BALBOA BLVD, GRANADA HILLS, CA 91344-5007
(818) 217-4482
Mailing address
9752 MARKLEIN AVE, NORTH HILLS, CA 91343-2129
(510) 331-6145
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
52133
CA
Other
Enumeration date
01/13/2023
Last updated
01/13/2023
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