Individual
MS. GERALDINE BERGER BONHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1160 1ST ST NE APT 308, WASHINGTON, DC 20002-4699
(202) 615-1078
Mailing address
1160 1ST ST NE APT 308, WASHINGTON, DC 20002-4699
(202) 615-1078
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1449593
—
DC
Enumeration date
01/11/2018
Last updated
06/16/2018
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