Individual
MRS. BONNIE I NORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
27 ANDREWS ST, DAYTON, OH 45410-1913
(937) 256-5402
Mailing address
27 ANDREWS ST, DAYTON, OH 45410-1913
(937) 256-5402
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
2810748
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2810748
OHIO PROVIDER
OH
Enumeration date
09/12/2014
Last updated
09/12/2014
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