Individual
MRS. ALESSANDRA ISABELLA BONANNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9000 N MAIN ST STE 233, ENGLEWOOD, OH 45415-1184
(937) 832-9310
Mailing address
7804 CAPITOL HILL LN, DAYTON, OH 45459-4006
(309) 256-0915
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.008932RX
OH
Other
Enumeration date
08/20/2024
Last updated
08/20/2024
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