Individual
THERESA ELIZABETH BONACCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2400 S 48TH ST, SPRINGDALE, AR 72762-6683
(479) 750-2020
(479) 872-2441
Mailing address
2400 S 48TH ST, SPRINGDALE, AR 72762-6683
(479) 750-2020
(479) 872-2441
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R-64884
AR
Other
Enumeration date
04/26/2007
Last updated
07/08/2007
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