Individual
MRS. DIADEMA LORENZO BONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N., MSN, CIC
Contact information
Practice address
480 CENTRAL AVE, NAVAL HEALTH CLINIC HAWAII, PEARL HARBOR, HI 96860-4908
(808) 471-1866
(808) 471-1855
Mailing address
480 CENTRAL AVE, NAVAL HEALTH CLINIC HAWAII, PEARL HARBOR, HI 96860-4908
(808) 471-1866
(808) 471-1855
Taxonomy
Speciality
Code
Description
License number
State
163WI0600X
Infection Control Registered Nurse
Primary
RN-38458
HI
Other
Enumeration date
11/30/2009
Last updated
11/30/2009
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