Individual
BONILYN BONHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5764 HURDIA RD, JACKSONVILLE, FL 32244-4510
(904) 438-1884
(904) 329-2534
Mailing address
5764 HURDIA RD, JACKSONVILLE, FL 32244-4510
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
12/30/2013
Last updated
12/30/2013
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