Individual
EMILY BONAVENTURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9330 59TH AVE SW, LAKEWOOD, WA 98499-2858
(253) 777-5378
(253) 620-5185
Mailing address
9330 59TH AVE SW, LAKEWOOD, WA 98499-2858
(253) 777-5378
(253) 620-5185
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
1086045
TX
Other
Enumeration date
11/10/2025
Last updated
11/10/2025
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