Individual
LOIUSE MONIQUE BONESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11340 EVANS TRAIL, BELTSVILLE, MD 20705
(240) 604-5419
Mailing address
11340 EVANS TRAIL, BELTSVILLE, MD 20705
(240) 604-5419
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/11/2012
Last updated
07/11/2012
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