Individual
BONITA DICELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
37747 WILLOW DR, EASTLAKE, OH 44095-1058
(614) 339-0806
Mailing address
7271 ENGLE RD, MIDDLEBURG HEIGHTS, OH 44130-8488
(216) 750-2600
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.260720
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2910854
—
OH
Enumeration date
02/23/2022
Last updated
02/23/2022
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