Bonnie Macenka LVN

NPI 1033316526 - Licensed Vocational Nurse - 164X00000X

NPI Details
NPI 1033316526
Gender Female
Enumeration Date 06/28/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
305 W CHURCH ST
SANTA MARIA CA, 93458-5006, US
Phone (805) 348-1850
Fax
Business Location
630 CHEROKEE PL
NIPOMO CA, 93444-9579, US
Phone (805) 929-6348
Fax
Toxanomy
Taxonomy Code 164X00000X
License State California
License Number ZN185428
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According to our database, Bonnie Macenka LVN NPI is 1033316526, taxonomy code is 164X00000X and license number is ZN185428, license state is located at California. Bonnie Macenka LVN physically located at 305 W Church St, Santa Maria CA, 93458-5006. NPI Number Bonnie Macenka LVN has the Individual type.

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1033316526 NPI number is provided on an as is basis without warranty of any kind. 1033316526 is maintained by the National Plan & Provider Enumeration System. The contents of Bonnie Macenka LVN are for informational purposes only.