Jonvanni Bongolan
NPI #1124335807 in La Jolla, California
Provider Information
- NPI Number
- 1124335807
- Entity Type
- Individual
- Name
- Jonvanni Bongolan
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Sep 2, 2010
- Last Updated
- Dec 7, 2010
Practice Location
- Address
- 9300 CAMPUS POINT DR
- City
- La Jolla
- State
- California
- ZIP Code
- 92037-1300
- Phone
- (858) 657-6390
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
| Registered Nurse |
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