Individual
DR. CHERYL BONGIOVANNI
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PHD, RVT, CWS
Contact information
Practice address
700 S J ST, LAKEVIEW, OR 97630-1623
(541) 517-5169
(541) 947-3339
Mailing address
PO BOX 108, LAKEVIEW, OR 97630-0105
(541) 517-5169
(541) 947-3339
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
CERTIFIED WOUND SPEC
OR
Other
Enumeration date
06/03/2006
Last updated
07/08/2007
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