Search › California › 164W00000X
Nichelle Bonam
NPI 1821679242 · on the registry since 2021
Practice
- Address
- 17114 Passage Ave Apt 108
Bellflower, CA 90706 - Phone
- (562) 619-0483
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-04-16
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