Individual
MS. LENA M BONA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3909 WINTERSWEET DR, DECATUR, GA 30034-5200
(678) 993-7044
Mailing address
3909 WINTERSWEET DR, DECATUR, GA 30034-5200
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN047166
GA
Other
Enumeration date
03/30/2010
Last updated
03/30/2010
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