Provider Demographics
NPI:1689965436
Name:WOLSKI-BONESTEEL, JANETTE DIANA
Entity Type:Individual
Prefix:
First Name:JANETTE
Middle Name:DIANA
Last Name:WOLSKI-BONESTEEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4867 COLLWOOD BLVD UNIT A
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92115-2184
Mailing Address - Country:US
Mailing Address - Phone:909-292-5265
Mailing Address - Fax:
Practice Address - Street 1:2114 LARK GLN
Practice Address - Street 2:
Practice Address - City:ESCONDIDO
Practice Address - State:CA
Practice Address - Zip Code:92026-1642
Practice Address - Country:US
Practice Address - Phone:099-485-8077
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-27
Last Update Date:2023-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA766602163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse