Individual
JOEVONNA BONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5614 N FRESNO ST STE 111, FRESNO, CA 93710-6034
(559) 578-0306
Mailing address
5614 N FRESNO ST STE 111, FRESNO, CA 93710-6034
(559) 578-0306
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
CA
374J00000X
Doula
Primary
—
CA
374U00000X
Home Health Aide
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093588386
—
CA
Enumeration date
10/31/2023
Last updated
06/28/2024
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