Individual
ASHLEY ELIZABETH BONINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2 UPPER RAGSDALE DR, MONTEREY, CA 93940-5736
(831) 333-0999
Mailing address
59 KINGS GRANT RD, MARLBOROUGH, MA 01752-2317
(508) 250-2166
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
20111655
MA
363LP0200X
Pediatric Nurse Practitioner
22030
CA
Other
Enumeration date
07/11/2012
Last updated
07/16/2012
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