Individual
BONITA ELLEN HERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
200 WEST HOSPITAL DRIVE, WHITERIVER, AZ 85941-0860
(928) 338-4911
Mailing address
PO BOX 860, WHITERIVER, AZ 85941-0860
(928) 338-4911
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN00103002
WA
Other
Enumeration date
07/03/2008
Last updated
07/03/2008
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