Individual
MRS. BRENNA GONYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
38 WHIPPLE RD, SOUTH HERO, VT 05486-4900
(802) 372-4020
Mailing address
147 RIVER RD, COLCHESTER, VT 05446-6994
(802) 318-5492
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
025.0089842
VT
Other
Enumeration date
10/24/2012
Last updated
10/24/2012
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