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Tyra Bonanno
NPI 1306651716 · on the registry since 2025
Practice
- Address
- 7151 Navajo Rd Apt 5203
San Diego, CA 92119 - Phone
- (619) 980-2930
Registry record
- Primary taxonomy
- 225X00000X
225X00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-05-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California