EDGAR BONGAR

LOS ANGELES, CA
NPI1942892229
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: CA  591690)
Enumeration Date2021-02-08
Last Update Date2021-02-08
Business Address
EDGAR BONGAR
1776 E CENTURY BLVD
LOS ANGELES, CA 90002-3050
Phone number: 323-374-6848
Mailing Address
EDGAR BONGAR
688 N RIMSDALE AVE APT 87
COVINA, CA 91722-3553
Phone number: 626-922-5280
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