Individual
MRS. SHAUNTA LAFAYE BONNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
15506 HOLLOW CYPRESS CT, HOUSTON, TX 77049-2526
(713) 775-0254
Mailing address
15506 HOLLOW CYPRESS CT, HOUSTON, TX 77049-2526
(713) 775-0254
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/18/2010
Last updated
04/15/2011
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