Individual
DIANE BONNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4551 DEER CREEK CT, AUSTINTOWN, OH 44515-5466
(330) 406-8665
Mailing address
4551 DEER CREEK CT, AUSTINTOWN, OH 44515-5466
(330) 406-8665
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
12/14/2021
Last updated
12/14/2021
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