Individual
MS. BONNIE SUSAN COGDILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
4441 E KINGS CANYON RD, FRESNO, CA 93702-3604
(559) 253-9131
(559) 253-9040
Mailing address
4441 E KINGS CANYON RD, FRESNO, CA 93702-3604
(559) 253-9131
(559) 253-9040
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN36601
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
VN36601
LICENCE VOCATIONAL NURSE
CA
Enumeration date
01/04/2007
Last updated
07/08/2007
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