Individual
GERALDINE MBONEFOR
Active
Individual
GERALDINE MBONEFOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
06/11/2022
Last updated
06/11/2022
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