Individual
JOHN BONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RRT
Contact information
Practice address
215 CREMONA DR, NEWPORT NEWS, VA 23608-3304
(757) 971-5646
Mailing address
215 CREMONA DR, NEWPORT NEWS, VA 23608-3304
(757) 971-5646
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
0117008185
VA
Other
Enumeration date
04/07/2021
Last updated
04/07/2021
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