MRS. Desiree Renee Bonomo, PAC

NPI #1912217977 in Chino, California

Provider Information

NPI Number: 1912217977
Entity Type: Individual
Name: MRS. Desiree Renee Bonomo, PAC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PAC
Enumeration Date: Oct 8, 2010
Last Updated: Sep 14, 2011

Practice Location

Address: 5475 WALNUT AVE
City: Chino
State: California
ZIP Code: 91710-2609
Phone: (909) 591-6444

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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