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Individual

BONA BOBO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
APRN

Contact information

Practice address
304 SE HEARTHWOOD BLVD # 873933, VANCOUVER, WA 98684-7551
(702) 849-3302
(778) 769-4717
Mailing address
304 SE HEARTHWOOD BLVD # 873933, VANCOUVER, WA 98684-7551
(702) 849-3302
(778) 769-4717

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
822801
NV
363LA2200X
Adult Health Nurse Practitioner
APN.0994746-NP
CO
363LG0600X
Gerontology Nurse Practitioner
822801
NV
363LG0600X
Gerontology Nurse Practitioner
APN.0994746-NP
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
APN.0994746-NP
APN
CO
Enumeration date
07/05/2019
Last updated
12/05/2023
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