Individual
CHRISTINE BONAVITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
2989 RAMS HORN RUN, BROOMFIELD, CO 80023-8024
(720) 464-6555
Mailing address
2989 RAMS HORN RUN, BROOMFIELD, CO 80023-8024
(720) 464-6555
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
L-143980
CO
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
RN-0200405
CO
Other
Enumeration date
06/21/2022
Last updated
06/21/2022
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