THALIA LEBOGANG BRUCE

NORTH HOLLYWOOD, CA
NPI1457982522
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy253J00000X Foster Care Agency
Additional Taxonomies163W00000X Registered Nurse
(Licence: CA  95192120)
Enumeration Date2020-01-28
Last Update Date2020-01-28
Business Address
THALIA LEBOGANG BRUCE
5519 BONNER AVE APT 2
NORTH HOLLYWOOD, CA 91601-5723
Phone number: 661-993-8542
Mailing Address
THALIA LEBOGANG BRUCE
5519 BONNER AVE APT 2
NORTH HOLLYWOOD, CA 91601-5723
Phone number: 661-993-8542