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Individual

MISS CHRISTINA M BONNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMBT, CBS

Contact information

Practice address
12224 SCOTT CREEK DR, CHARLOTTE, NC 28213-2172
(704) 737-4731
Mailing address
12224 SCOTT CREEK DR, CHARLOTTE, NC 28213-2172
(704) 737-4731

Taxonomy

Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
MD
225700000X
Massage Therapist
Primary
8278
NC

Other

Enumeration date
11/15/2023
Last updated
11/15/2023
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