BONAR SOFIAN MANGUNSONG

LOMA LINDA, CA
NPI1437548880
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  52249)
Enumeration Date2015-01-22
Last Update Date2015-01-22
Business Address
Mr. BONAR SOFIAN MANGUNSONG
25340 PARK AVE APT 6
LOMA LINDA, CA 92354
Phone number: 909-252-6481
Mailing Address
Mr. BONAR SOFIAN MANGUNSONG
25340 PARK AVE APT 6
LOMA LINDA, CA 92354-2339
Phone number: 909-252-6481
Similar providers in Loma Linda, CA
WEN LONG
STEPHANIE GRACE ROSARIO RAMOS
RYAN GORE
LEIGH ANN BALLOU
CARMEN MARMO
RITA ARTOUNIAN MILAGERDI
QUY ALAN DUY DAO
JAVERIA NAQVI
TINA GHALCHI
LINH DIEU NGUYEN