Individual
MS. ERAINA ALLYSSE BONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12047 SUSSEX, DETROIT, MI 48227-2073
(313) 307-2514
Mailing address
9326 WARWICK, DETROIT, MI 48228-1735
(313) 307-2514
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7310232
—
MI
Enumeration date
08/26/2024
Last updated
08/26/2024
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