Individual
ANGELICA MARIE BONISESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3080 HAMILTON BLVD STE 200, ALLENTOWN, PA 18103-3692
(484) 661-4641
Mailing address
2100 MACK BLVD FL 4, ALLENTOWN, PA 18103-5622
(484) 884-4500
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN007175
PA
Other
Enumeration date
05/11/2021
Last updated
05/11/2021
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