Individual
MRS. ROSE BONNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
12011 GOVERNMENT CENTER PKWY STE 300, FAIRFAX, VA 22035-1100
(703) 324-3271
(703) 322-1518
Mailing address
4309 MISSION CT, ALEXANDRIA, VA 22310-3353
(702) 324-3271
(703) 322-1518
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
0001078473
VA
Other
Enumeration date
05/28/2010
Last updated
05/28/2010
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