Individual
DARLENE BONANNO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
95 PLEASANT ST, LYNN, MA 01901-1524
(781) 596-9222
Mailing address
23 TRUE RD, SEABROOK, NH 03874-4320
(978) 852-4082
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
56114
MA
Other
Enumeration date
12/17/2007
Last updated
12/17/2007
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