License holder summary

Bonifasiyo K. Ssennyamantono MD is a Medical Doctor licensed to practice in Arizona. The address on file for Bonifasiyo K. Ssennyamantono MD is Sonoran Heart, 10815 W. McDowell Rd, Suite 202, Avondale AZ 85392. This licensed professional license is current. The license was granted 07/13/2006.

Arizona

Board of Licensing

Bonifasiyo K. Ssennyamantono MD
Medical Doctor
License number
35788
Date granted
07/13/2006
Class
Medical Doctor
Status
Active
Address
Sonoran Heart, 10815 W. McDowell Rd, Suite 202, Avondale AZ 85392
arizonalicensing.com
ID 22124808
LAST UPDATED 2024-03-12 10:38:43 UTC

This website is unaffiliated with Arizona and its licensing agencies. Please verify all information directly with the relevant official government authority.

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