Bonnie Wassenaar Alexander L.AC., MTOM

NPI 1023214632 - Acupuncturist - 171100000X

NPI Details
NPI 1023214632
Gender Female
Enumeration Date 06/22/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
2835 CAMINO DEL RIO S
120-A
SAN DIEGO CA, 92108-3825, US
Phone (619) 299-0845
Fax
Business Location
8851 CARLTON OAKS DR
SANTEE CA, 92071-2306, US
Phone (619) 562-8950
Fax
Toxanomy
Taxonomy Code 171100000X
License State California
License Number AC4774
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According to our database, Bonnie Wassenaar Alexander L.AC., MTOM NPI is 1023214632, taxonomy code is 171100000X and license number is AC4774, license state is located at California. Bonnie Wassenaar Alexander L.AC., MTOM physically located at 2835 Camino Del Rio S, San Diego CA, 92108-3825. NPI Number Bonnie Wassenaar Alexander L.AC., MTOM has the Individual type.

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1023214632 NPI number is provided on an as is basis without warranty of any kind. 1023214632 is maintained by the National Plan & Provider Enumeration System. The contents of Bonnie Wassenaar Alexander L.AC., MTOM are for informational purposes only.