Individual
BONITA ONEIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9537 MIDDLE GRAVE CREEK RD, GLEN EASTON, WV 26039-1486
(304) 845-1850
Mailing address
9537 MIDDLE GRAVE CREEK RD, GLEN EASTON, WV 26039-1486
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/16/2021
Last updated
03/16/2021
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