Individual
MRS. BONITA B SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.-C.
Contact information
Practice address
6859 E REMBRANDT AVE, SUITE 117, MESA, AZ 85212-3628
(480) 632-1577
(480) 632-1574
Mailing address
6859 E REMBRANDT AVE, SUITE 117, MESA, AZ 85212-3628
(480) 632-1577
(480) 632-1574
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F0510070
AZ
Other
Enumeration date
10/27/2010
Last updated
10/27/2010
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