Individual
MRS. SUZANNE LESLIE BONVENTRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
22670 HAGGERTY RD STE 100, FARMINGTON HILLS, MI 48335-2631
(248) 465-7370
(248) 465-7303
Mailing address
22670 HAGGERTY RD STE 100, FARMINGTON HILLS, MI 48335-2631
(248) 465-7370
(248) 465-7303
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704164570
MI
Other
Enumeration date
08/26/2020
Last updated
08/26/2020
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