Individual
MRS. GILDA GRACE BONNEVIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 GLENDALE DR, TONAWANDA, NY 14150-4613
(716) 250-1503
(716) 250-1510
Mailing address
1901 SWEET HOME RD, AMHERST, NY 14228-5312
(716) 250-1503
(716) 250-1510
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
2860311
NY
Other
Enumeration date
10/11/2011
Last updated
10/11/2011
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