Most Relevant Information
Provider Data
| NPI Number: | 1003443441 |
| Provider Name: | ANNA BONHAGEN RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163WP0809X |
| Specialty: | Registered Nurse |
| License Number: | 95081062 |
Most Important Dates
| Enumeration Date: | 03/25/2020 |
| Last Updated: | 03/25/2020 |
Provider Practice Location
734 10TH AVE
SAN DIEGO
CA
921016502
Practice Location Phone/Fax
| Phone: | 6192394663 |
| Fax: |
Provider Mailing Location
734 10TH AVE
SAN DIEGO
CA
921016502
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |