Most Relevant Information
Provider Data
| NPI Number: | 1003363755 |
| Provider Name: | JANICE BONELLO |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/09/2016 |
| Last Updated: | 09/05/2023 |
Provider Practice Location
1245 E SANTA CLARA ST
SAN JOSE
CA
951162337
Practice Location Phone/Fax
| Phone: | 4082400070 |
| Fax: |
Provider Mailing Location
205 MONTEREY RD
SEASIDE
CA
939556638
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |