Individual
CATHY JO BONNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
130 SPRING AVE, FERGUSON, MO 63135-2345
(314) 819-3071
Mailing address
130 SPRING AVE, FERGUSON, MO 63135-2345
(314) 819-3071
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001834564
DAY CARE
MO
Enumeration date
09/18/2012
Last updated
09/18/2012
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