Individual
ALICIA BONNEVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
3 REEVES ST, WORCESTER, MA 01607-1303
(508) 963-9051
Mailing address
3 REEVES ST, APT 1R, WORCESTER, MA 01607-1303
(508) 963-9051
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
A
MA
Other
Enumeration date
04/18/2013
Last updated
07/21/2022
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