Individual
MS. MARNICHELLE KY BONOCAN CLAMOHOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
102 N BROADWAY ST, JOHNSON CITY, TN 37601-3525
(423) 588-9978
(423) 722-3401
Mailing address
604 E OAKLAND AVE APT 4, JOHNSON CITY, TN 37601-3469
(423) 676-5764
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
255300
TN
Other
Enumeration date
10/14/2021
Last updated
10/14/2021
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