Individual
KATHERINE BONOMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
103 PENNSYLVANIA AVE, APT 2, MATAMORAS, PA 18336-1450
(412) 304-3488
Mailing address
103 PENNSYLVANIA AVE, APT 2, MATAMORAS, PA 18336-1450
(412) 304-3488
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
303439-1
NY
Other
Enumeration date
12/29/2010
Last updated
12/29/2010
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