Individual
MRS. GLORIA A BONAMY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
20853 FARMINGTON RD, FARMINGTON HILLS, MI 48336-5183
(248) 476-9091
(248) 476-1011
Mailing address
20853 FARMINGTON RD, FARMINGTON HILLLS, MI 48322-5183
(248) 476-9091
(248) 476-1011
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704180761
MI
Other
Enumeration date
06/23/2011
Last updated
06/23/2011
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