Individual
MISS CHRISTINE RENEE CONNER-BONGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
4700 SCHAEFER RD, DEARBORN, MI 48126-3698
(888) 562-5442
(562) 499-6171
Mailing address
200 OCEANGATE, #100, LONG BEACH, CA 90802-4317
(562) 499-6191
(562) 499-6171
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4704181197
MI
Other
Enumeration date
02/08/2007
Last updated
04/03/2017
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