Individual
JEMIMA B BONCALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
632 GRANITE MILL BLVD, CHAPEL HILL, NC 27516-4568
(919) 708-2634
Mailing address
632 GRANITE MILL BLVD, CHAPEL HILL, NC 27516-4568
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
278726
NC
363L00000X
Nurse Practitioner
Primary
0024183112
VA
Other
Enumeration date
07/14/2020
Last updated
09/12/2023
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