Individual
BONNIE CARRIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7195 BANKS, WATERFORD, MI 48327-3703
(248) 408-3643
Mailing address
7195 BANKS, WATERFORD, MI 48327-3703
(248) 408-3643
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703107939
MI
Other
Enumeration date
06/11/2015
Last updated
06/11/2015
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