Individual provider · Type 1 NPI
Angela Bonaventura, RN
Student Health Clinic/Center · Berkeley, CA
NPI number
1770836009
Active
Practice location
2222 Bancroft Way
Berkeley, CA 94720-4301
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student Health Clinic/Center Primary | 261QS1000X | 534932 (CA) |
Student Health Clinic/Center: Definition to come...
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About NPI 1770836009
Angela Bonaventura, RN's National Provider Identifier is 1770836009, issued on Oct 24, 2012. The primary taxonomy on file is Student Health Clinic/Center (261QS1000X), and the practice location is in Berkeley, CA. The record was last updated on Oct 24, 2012.