Individual
THERESE PELAGIE BONOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
40 NORWOOD AVE, AYER, MA 01432-1370
(978) 259-8534
Mailing address
40 NORWOOD AVE, AYER, MA 01432-1370
(978) 259-8534
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2290036
MA
Other
Enumeration date
04/18/2023
Last updated
04/18/2023
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