Individual
BONESHA BURWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
403 STOCKTON ST APT 4156, RICHMOND, VA 23224-4351
(804) 908-0091
Mailing address
403 STOCKTON ST APT 4156, RICHMOND, VA 23224-4351
(804) 908-0091
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
T28432454
VA
Other
Enumeration date
03/19/2018
Last updated
03/19/2018
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