Individual
LORENA T BONAVENTURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH
Contact information
Practice address
393 HIGHLAND AVE, SOMERVILLE, MA 02144-2506
(617) 776-7730
Mailing address
393 HIGHLAND AVE, SOMERVILLE, MA 02144-2506
(617) 776-7730
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
22059
MA
Other
Enumeration date
05/27/2010
Last updated
07/16/2014
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