Individual
KIZZY MICHELLE BONVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19 JENEVA LN, HARRINGTON, DE 19952-6429
(302) 670-6739
Mailing address
19 JENEVA LN, HARRINGTON, DE 19952-6429
(302) 670-6739
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
NA000000702334
DE
Other
Enumeration date
06/08/2021
Last updated
06/08/2021
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