Individual
BONITA STAMPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1424 VIVALDI PL, LONGWOOD, FL 32779-5878
(407) 758-7724
Mailing address
1424 VIVALDI PL, LONGWOOD, FL 32779-5878
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
10/10/2015
Last updated
10/10/2015
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