Individual
ASHAUNTI BOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
44 WINNIE LN, BRENTWOOD, NY 11717-7549
(631) 581-1971
Mailing address
44 WINNIE LN, BRENTWOOD, NY 11717-7549
(631) 581-1971
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
258680
NY
Other
Enumeration date
12/31/2011
Last updated
12/31/2011
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