Individual
BONNIE ELLEN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHLEBOTOMIST
Contact information
Practice address
82 PECK ST, NORWICH, CT 06360-5517
(959) 234-9007
Mailing address
82 PECK ST, NORWICH, CT 06360-5517
(959) 234-9007
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
09-1136Y99
CT
Other
Enumeration date
04/19/2024
Last updated
04/19/2024
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