Individual
KIMBERLY BONHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4516 NEW HAMPSHIRE AVE NW, WASHINGTON, DC 20011-4734
(240) 470-5682
Mailing address
610 QUACKENBOS ST NW, WASHINGTON, DC 20011-1230
(301) 281-5824
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
DC
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
09/29/2025
Last updated
02/26/2026
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