Tara Bonham

NPI 1043579329 - Technician, Other - 247200000X

NPI Details
NPI 1043579329
Gender Female
Enumeration Date 05/08/2012
Last Updated 05/08/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
170 ALTAMIRA AVENUE
CEDAR CITY UT, 84720, US
Phone (435) 586-0213
Fax
Business Location
381 N 300 W
CEDAR CITY UT, 84721-3547, US
Phone (435) 531-6105
Fax
Toxanomy
Taxonomy Code 247200000X
License State
License Number
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According to our database, Mrs. Tara Bonham NPI is 1043579329, taxonomy code is 247200000X Tara Bonham physically located at 170 Altamira Avenue, Cedar City UT, 84720. NPI Number Tara Bonham has the Individual type.

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1043579329 NPI number is provided on an as is basis without warranty of any kind. 1043579329 is maintained by the National Plan & Provider Enumeration System. The contents of Tara Bonham are for informational purposes only.