VIVIAN MBONIFOR

GARDENA, CA
NPI1144937327
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CA  2022010372)
Enumeration Date2022-10-28
Last Update Date2023-04-17
Business Address
VIVIAN MBONIFOR
1225 W 190TH ST STE 280
GARDENA, CA 90248-4305
Phone number: 310-515-8113
Mailing Address
VIVIAN MBONIFOR
1225 W 190TH ST STE 280
GARDENA, CA 90248-4305
Phone number:
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