Individual
JESSE BONTRAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
740 S NEW ST, DOVER, DE 19904-3571
(302) 674-0222
(302) 674-0200
Mailing address
740 S NEW ST, DOVER, DE 19904-3571
(302) 674-0222
(302) 674-0200
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
LG-0012133
DE
Other
Enumeration date
09/20/2022
Last updated
09/20/2022
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