Individual
JUSTIN MICHAEL BONANNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
939 CAROLINE ST, PORT ANGELES, WA 98362-3997
(360) 417-7000
Mailing address
136 ORCAS AVE, PORT ANGELES, WA 98362-2552
(424) 212-2515
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
RN60979296
WA
Other
Enumeration date
07/04/2024
Last updated
07/04/2024
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