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Viviana Bonansea
NPI 1548672199 · on the registry since 2014 · sole proprietor
Practice
- Address
- 1527 21st St
Manhattan Beach, CA 90266 - Phone
- (310) 800-6808
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-05-29
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