Individual
LYNETTE DOROTHY BONJORNI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
11407 SE HWY 301, SUITE 3, BELLEVIEW, FL 34420
(352) 245-1074
Mailing address
16720 SE 45TH CT, SUMMERFIELD, FL 34491-6129
(352) 245-1074
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MA 0009470
FL
Other
Enumeration date
12/08/2011
Last updated
08/25/2014
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