Individual
ALLEAN RANETA BONIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1501 SAN PEDRO DR SE, ALBUQUERQUE, NM 87108-5153
(505) 265-1711
Mailing address
1501 SAN PEDRO DR SE, ALBUQUERQUE, NM 87108-5153
(505) 265-1711
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
R34733
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000
000
—
Enumeration date
12/17/2018
Last updated
12/17/2018
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