CHARLLIE BONGOLAN

WEST HOLLYWOOD, CA
NPI1437959822
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  95022864)
Enumeration Date2025-03-15
Last Update Date2025-03-15
Business Address
CHARLLIE BONGOLAN FNP-BC
8700 BEVERLY BLVD
WEST HOLLYWOOD, CA 90048-1804
Phone number: 310-423-4655
Mailing Address
CHARLLIE BONGOLAN FNP-BC
17036 KIRK VIEW DR
HACIENDA HEIGHTS, CA 91745-6704
Phone number: 626-347-2152
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