Individual
MS. BONITA LYNN EUSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
24A MILTON AVE, BALLSTON SPA, NY 12020-1404
(518) 885-7034
Mailing address
24A MILTON AVE, BALLSTON SPA, NY 12020-1404
(518) 885-7034
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
203617-1
NY
Other
Enumeration date
12/02/2009
Last updated
12/02/2009
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