Nilah Nicole Bonham Od Pc

NPI 1477748986 - Eyewear Supplier (Equipment, not the service) - 332H00000X

NPI Details
NPI 1477748986
Enumeration Date 09/07/2007
Last Updated 09/07/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name NILAH NICOLE NILAH
Position OPTOMETRIST
Phone (812) 443-0060
Fax (812) 446-5061
Practice Location
325 W NATIONAL AVE
BRAZIL IN, 47834, US
Phone (812) 443-0060
Fax (812) 446-5061
Business Location
325 W NATIONAL AVE
BRAZIL IN, 47834, US
Phone (812) 443-0060
Fax (812) 446-5061
Toxanomy
Taxonomy Code 332H00000X
License State Indiana
License Number 18003365A
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According to our database, Nilah Nicole Bonham Od Pc NPI is 1477748986, taxonomy code is 332H00000X and license number is 18003365A, license state is located at Indiana. Nilah Nicole Bonham Od Pc physically located at 325 W National Ave, Brazil IN, 47834. NPI Number 1033115704 has the healthcare provider type.

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1477748986 NPI number is provided on an as is basis without warranty of any kind. 1477748986 is maintained by the National Plan & Provider Enumeration System. The contents of Nilah Nicole Bonham Od Pc are for informational purposes only.