Shawana Neco Bonner LPN

NPI 1487805867 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1487805867
Gender Female
Enumeration Date 10/03/2008
Last Updated 10/03/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
4531 ELMER ST
DAYTON OH, 45417-1336, US
Phone (937) 475-7292
Fax
Business Location
4531 ELMER ST
DAYTON OH, 45417-1336, US
Phone (937) 475-7292
Fax
Toxanomy
Taxonomy Code 164W00000X
License State Ohio
License Number PN 108108
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According to our database, Shawana Neco Bonner LPN NPI is 1487805867, taxonomy code is 164W00000X and license number is PN 108108, license state is located at Ohio. Shawana Neco Bonner LPN physically located at 4531 Elmer St, Dayton OH, 45417-1336. NPI Number Shawana Neco Bonner LPN has the Individual type.

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1487805867 NPI number is provided on an as is basis without warranty of any kind. 1487805867 is maintained by the National Plan & Provider Enumeration System. The contents of Shawana Neco Bonner LPN are for informational purposes only.