Bonifacio Wenceslao

NPI 1265798086 - Contractor - 171W00000X

NPI Details
NPI 1265798086
Gender Male
Enumeration Date 04/05/2012
Last Updated 04/05/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
5980 W 71ST ST STE 102
INDIANAPOLIS IN, 46278-1785, US
Phone (317) 388-0800
Fax (317) 388-0805
Business Location
5980 W 71ST ST STE 102
INDIANAPOLIS IN, 46278-1785, US
Phone (317) 388-0800
Fax (317) 388-0805
Toxanomy
Taxonomy Code 171W00000X
License State New York
License Number 032312
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According to our database, Bonifacio Wenceslao NPI is 1265798086, taxonomy code is 171W00000X and license number is 032312, license state is located at New York. Bonifacio Wenceslao physically located at 5980 W 71st St Ste 102, Indianapolis IN, 46278-1785. NPI Number Bonifacio Wenceslao has the Individual type.

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1265798086 NPI number is provided on an as is basis without warranty of any kind. 1265798086 is maintained by the National Plan & Provider Enumeration System. The contents of Bonifacio Wenceslao are for informational purposes only.