Provider Demographics
NPI:1609210848
Name:BONDS, FELICIA (LVN)
Entity Type:Individual
Prefix:MS
First Name:FELICIA
Middle Name:
Last Name:BONDS
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 GAVILAN
Mailing Address - Street 2:
Mailing Address - City:RSM
Mailing Address - State:CA
Mailing Address - Zip Code:92688-1604
Mailing Address - Country:US
Mailing Address - Phone:714-597-2783
Mailing Address - Fax:
Practice Address - Street 1:30 GAVILAN
Practice Address - Street 2:
Practice Address - City:RSM
Practice Address - State:CA
Practice Address - Zip Code:92688-1604
Practice Address - Country:US
Practice Address - Phone:714-597-2783
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-18
Last Update Date:2013-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAVN207280164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse