Individual
MR. MATTHEW LA TOURA BONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ESQ
Contact information
Practice address
113 SOUTH WRIGHT STREET, BURGAW, NC 28425
(336) 706-7625
(910) 259-7464
Mailing address
PO BOX 1744, BURGAW, NC 28425-1744
(336) 706-7625
(910) 259-7464
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
HC6869
NC
Other
Enumeration date
03/07/2023
Last updated
03/07/2023
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