Individual
BONNIE J PESTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4121 JONES RD, BLOOMFIELD, NY 14469-9733
(585) 301-3793
Mailing address
4121 JONES RD, BLOOMFIELD, NY 14469-9733
(585) 301-3793
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
274859-1
NY
Other
Enumeration date
07/31/2011
Last updated
07/31/2011
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