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Individual

TRESSA BONASSO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
23 TRESARA DR, FAIRMONT, WV 26554-8837
(304) 694-5898
Mailing address
23 TRESARA DR, FAIRMONT, WV 26554-8837
(304) 694-5898

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
106662
WV

Other

Enumeration date
02/17/2021
Last updated
08/23/2023
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