Individual
CHRISTAL BONNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5953 BLUEHILL ST, DETROIT, MI 48224-2017
(313) 882-5475
Mailing address
5953 BLUEHILL ST, DETROIT, MI 48224-2017
(313) 882-5475
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
MI
Other
Enumeration date
09/12/2014
Last updated
09/12/2014
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