Bohannon, Manya

Bohannon, Manya is an individual health care provider with primary practice located at 762 Cypress St , San Dimas CA 91773-3505. She recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as her primary health care specialty. Bohannon, Manya can be contacted via phone (909) 599-1227.

Contact Information

Primary practice address
762 Cypress St San Dimas CA 91773-3505
Phone: (909) 599-1227
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1366715336
LBN Legal business name Bohannon, Manya
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2012
Last updated May 14th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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