Individual
AUGUSTA BONNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5502 KAREN ELAINE DR APT 919, NEW CARROLLTON, MD 20784-4126
(240) 604-6817
Mailing address
5502 KAREN ELAINE DR APT 919, NEW CARROLLTON, MD 20784-4126
(240) 604-6817
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
376K00000X
Nurse's Aide
A00001865
MD
Other
Enumeration date
08/30/2021
Last updated
09/24/2024
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