VIVIANA BONANSEA

MANHATTAN BEACH, CA
NPI1548672199
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: CA  21087)
Enumeration Date2014-05-29
Last Update Date2014-05-29
Business Address
-- VIVIANA BONANSEA
1527 21ST ST
MANHATTAN BEACH, CA 90266-4038
Phone number: 310-800-6808
Mailing Address
-- VIVIANA BONANSEA
PO BOX 12834
MARINA DEL REY, CA 90295-3834
Phone number: 310-800-6808
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