Individual
MS. SALLY BONNEMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
601 JOHN ST, SUITE W-308, KALAMAZOO, MI 49007-5341
(269) 341-8646
Mailing address
601 JOHN ST, SUITE W-308, KALAMAZOO, MI 49007-5341
(269) 341-8646
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
01/30/2014
Last updated
01/30/2014
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