Individual
ANDREA BONAVENTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
312 BEACHSIDE DR, STEVENSVILLE, MD 21666-3914
(443) 624-0602
Mailing address
312 BEACHSIDE DR, STEVENSVILLE, MD 21666-3914
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
MD
Other
Enumeration date
04/10/2026
Last updated
04/10/2026
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