Individual
RACHEL BONASSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
203 LOMA RD, APT 3, CHARLESTON, WV 25314-2349
(717) 476-6911
Mailing address
203 LOMA RD, APT 3, CHARLESTON, WV 25314-2349
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0009908
WV
Other
Enumeration date
10/11/2016
Last updated
10/11/2016
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