SearchCalifornia101YS0200X

Kbongard Bongard, LICENS. SCH. COUNSEL

NPI 1649095985 · on the registry since 2024

Practice

Address
1021 Lake Tahoe Blvd
South Lake Tahoe, CA 96150
Phone
(530) 543-2350

Registry record

Primary taxonomy
101YS0200X
101YS0200X
Also registered as
101YS0200X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-11-21

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