Individual
DANYIELL E BONVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
34 S BALDWIN AVE, ARCADIA, FL 34266-3387
(863) 494-9303
(863) 491-7516
Mailing address
34 S BALDWIN AVE, ARCADIA, FL 34266-3387
(863) 494-9303
(863) 491-7516
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5165194
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PN5165194
LPN LICENSE
FL
Enumeration date
03/31/2008
Last updated
03/31/2008
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