| NPI | 1922665728 |
|---|---|
| Doing Business As | MICHAELJEREMY BONSOL |
| Entity Type | Organization |
| Authorized Contact | MICHAELJEREMY DE MESA BONSOL President 323-469-8062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2019-05-28 |
| Last Update Date | 2024-09-27 |