Individual
MRS. BONNIE HIBMA PRUCKLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3706 CEDAR HEIGHTS DR, CEDAR FALLS, IA 50613-6207
(319) 273-8250
Mailing address
2221 CENTER ST, CEDAR FALLS, IA 50613-1379
(319) 277-5440
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
00785
IA
Other
Enumeration date
01/29/2007
Last updated
07/08/2007
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