Individual
MS. LACHIA BONNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9412 PIERPONT AVE, CLEVELAND, OH 44108-3235
(216) 254-5602
Mailing address
9412 PIERPONT AVE, CLEVELAND, OH 44108-3235
(216) 254-5602
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
400046931101
OH
Other
Enumeration date
04/23/2014
Last updated
04/23/2014
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