Individual
CAROLINE ADAMS BONAVENTURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
533 BOLIVAR ST STE 566, NEW ORLEANS, LA 70112-1349
(504) 568-4785
Mailing address
533 BOLIVAR ST STE 566, NEW ORLEANS, LA 70112-1349
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2584707
—
LA
Enumeration date
04/08/2022
Last updated
07/10/2022
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